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Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young
We present an extremely rare case of a 26-year-old young male, an engineering student and a staunch vegetarian from early childhood without conventional cardiac risk factors, with hyperhomocysteinemia presenting as acute lateral wall ST elevation myocardial infarction with angiographic evidence of f...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9480623/ https://www.ncbi.nlm.nih.gov/pubmed/36119322 http://dx.doi.org/10.4103/jfmpc.jfmpc_1539_21 |
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author | Das, Debasish Das, Tutan Pramanik, Subhas |
author_facet | Das, Debasish Das, Tutan Pramanik, Subhas |
author_sort | Das, Debasish |
collection | PubMed |
description | We present an extremely rare case of a 26-year-old young male, an engineering student and a staunch vegetarian from early childhood without conventional cardiac risk factors, with hyperhomocysteinemia presenting as acute lateral wall ST elevation myocardial infarction with angiographic evidence of focal critical occlusion of the first diagonal branch. Although homocysteinemia and its association with coronary artery disease is well known, hyperhomocysteinemia with very high level of plasma homocysteine (>100 mmol/l) presenting as an exclusive small vessel coronary artery disease like involving only diagonal branch sparing major coronary vessels has not yet been described in the literature. Our case is unique and the first description of an exclusive small vessel coronary artery disease sparing major coronary vessels in the presence of paradoxically very high-level serum homocysteine (in a young male without conventional cardiac risk factors). Vegetarians should be encouraged to take Vitamin B6 rich food like potatoes, bananas, and garbanzo beans to decrease the likelihood of having severe coronary artery disease secondary to hyperhomocysteinemia. |
format | Online Article Text |
id | pubmed-9480623 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-94806232022-09-17 Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young Das, Debasish Das, Tutan Pramanik, Subhas J Family Med Prim Care Case Report We present an extremely rare case of a 26-year-old young male, an engineering student and a staunch vegetarian from early childhood without conventional cardiac risk factors, with hyperhomocysteinemia presenting as acute lateral wall ST elevation myocardial infarction with angiographic evidence of focal critical occlusion of the first diagonal branch. Although homocysteinemia and its association with coronary artery disease is well known, hyperhomocysteinemia with very high level of plasma homocysteine (>100 mmol/l) presenting as an exclusive small vessel coronary artery disease like involving only diagonal branch sparing major coronary vessels has not yet been described in the literature. Our case is unique and the first description of an exclusive small vessel coronary artery disease sparing major coronary vessels in the presence of paradoxically very high-level serum homocysteine (in a young male without conventional cardiac risk factors). Vegetarians should be encouraged to take Vitamin B6 rich food like potatoes, bananas, and garbanzo beans to decrease the likelihood of having severe coronary artery disease secondary to hyperhomocysteinemia. Wolters Kluwer - Medknow 2022-06 2022-06-30 /pmc/articles/PMC9480623/ /pubmed/36119322 http://dx.doi.org/10.4103/jfmpc.jfmpc_1539_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Das, Debasish Das, Tutan Pramanik, Subhas Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young |
title | Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young |
title_full | Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young |
title_fullStr | Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young |
title_full_unstemmed | Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young |
title_short | Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young |
title_sort | hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (cad) in a young |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9480623/ https://www.ncbi.nlm.nih.gov/pubmed/36119322 http://dx.doi.org/10.4103/jfmpc.jfmpc_1539_21 |
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