MI at 23?

Nurses General Nursing

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I had a very strange case today and I was wondering if anyone has ever heard anything similar. The patient was a 23 yo female who presented with CP and abd. pain. The pt was holding her chest and very uncomfortable. She said the pain radiated to her left arm and left side of her face. She also had nausea. The patient had no cardiac medical history and her vitals were stable. She had gastric bypass 6 months ago. I thought she might be have a PE, but I didn't hear any murmer and her oxygen level was 99 percent on room air. I honestly didn't think she could be having an MI even with a history of obesity, but I pushed for a bed for her inside because she was so uncomfortable. The patient ended up having a troponin level of 30. Has anyone ever heard of anything similar?

Specializes in OB, ortho/neuro, home care, office.

That is so nice to hear augigi. Seriously. You can read over and over that the chances of survival with hereditary HCM - which is actually quite low - living to the age of 50, so it is refreshing to hear of someone living to your fathers age. Thank you. I have always thought that I would be lucky to see 50. Mines pretty severe, my heart is 2-3x the normal size. But my brothers is clinically worse. Either way it is a scary thing.

Specializes in cardiac/critical care/ informatics.

we just had a 23 y/o male that had a CABG.

I've taken care of several "young" (25-30) MI patients in the past six months, although almost every one of them had serious risk factors. Morbidly obese, sedentary lifestyle, diabetic, untreated HTN and high cholesterol, smoked, etc.

Young people seem to think they're invincible, yet don't realize they are in worse health than many of the elderly population I see!

I live in SUCH an unhealthy city, and I talk til I'm blue in the face to my patients about the importance of lifestyle changes, compliance with meds, etc. It goes in one ear and out the other.

Specializes in Emergency & Trauma/Adult ICU.

Cocaine use, obesity, and congenital factors play a role.

A friend's husband has had 2 MIs ... he's 38. No drug use, no obesity. Cardiac cath x 5. Plaques are sclerosing his coronary arteries faster than diet, exercise and statin drugs can control them ... he's looking at CABG within the next 18 months.

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