Unusual presentation of acute coronary syndrome in a 22-year-old male with juvenile idiopathic arthritis: a case report

Tariq Sallar,Ali Ammar, Fiyaz Hussain,Romana Awan, Sidra Tul Muntaha, Moiz Ahmed,Javaid Akbar Sial

PAKISTAN HEART JOURNAL(2024)

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Abstract
This case report documents the clinical journey of a 22 -year -old male who was initially diagnosed with Rheumatoid Arthritis (RA) and later, at the age of 11, with Juvenile Idiopathic Arthritis (JIA). The patient manifested atypical symptoms, primarily marked by sudden and intense chest pain accompanied by sweating, leading to a collapse during his emergency room visit. Medical evaluation revealed an extensive myocardial infarction affecting the anterior wall. The patient underwent a successful percutaneous coronary intervention targeting the left anterior descending artery. This case underscores the rare incidence of acute coronary syndrome in young patients with a history of JIA.
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Key words
Acute Coronary Syndrome,Juvenile Idiopathic Arthritis (JIA),Myocardial Infarction,Rheumatoid Arthritis
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