MINOCA in a 15-year-old female with multiple genetic mutations: A case of myocardial infarction in the very young adult

Abstract

Due to the rare occurrence of myocardial infarction (MI) in young people, chest pain in young adults poses a unique diagnostic challenge, increasing the risk of misdiagnosis. This case underscores the importance of considering acute MI in any patient with chest pain, regardless of age. Cardiac imaging is essential for confirming and guiding the diagnosis. We present a case of a very young adult with acute myocardial infarction with nonobstructive coronary artery (MINOCA). Furthermore, after investigation, we identified 7 genetic mutations predisposing the patient to coronary artery thrombosis. MI has a complex etiology involving a combination of genetic factors and internal and external environmental risk factors. It is a leading cause of death globally and has a rare incidence among teenagers and young adults.