Acute Myocardial Infarction in a Nineteen-Year-Old Student in the Absence of Coronary Obstructive Disease

Abstract

BEFORE diagnostic coronary angiography, a relation between ischemic heart disease and coronary obstructive disease was assumed. Recent studies have demonstrated the presence of myocardial ischemia and occasionally subendocardial necrosis in the presence of normal coronary arteriograms.^{1 2 3 4} This report documents an unusual case of acute transmural myocardial infarction in a young man without coronary obstructive disease.Case ReportK.G., a 19-year old college student, was admitted to the Newton-Wellesley Hospital in August, 1967, because of retrosternal chest pain with radiation to the jaw and left arm of 4 hours' duration. He had experienced 4 or 5 similar episodes of exertional pain . . .