First-degree relatives with similar phenotypic characterisation of acute myocardial infarction : a case report and review of the literature

BACKGROUND: Genetic susceptibility to the development of coronary artery disease (CAD) and myocardial infarction (MI) is well established. However, lack of replication, and difficulty in the identification of specific genes that underlie impressive linkage peaks remain challenges at the molecular level due to the heterogeneity of phenotype and their associated genotypes. We present two cases of first-degree family members of acute myocardial infarction (AMI) having similar clinical and angiographic features of obstructive coronary lesions at same anatomic locations.

CASE PRESENTATION: The father presented with significant chest discomfort and loss of consciousness. The electrocardiogram (ECG) showed an acute anterior ST-segment-elevation myocardial infarction (STEMI). Coronary angiogram demonstrated a subtotal occlusion in the mid-left anterior descending (LAD) coronary artery. One week later, the son presented after an in-hospital cardiac arrest with pulseless electric activity preceded by significant chest pain and loss of consciousness. His ECG also showed an acute anterior STEMI. Catheterization revealed strikingly similar angiographic characteristics with his father: subtotal occlusion in the proximal to mid-LAD coronary artery.

CONCLUSIONS: More considerations should be given to patients with similar phenotypic characterization in genetic studies of CAD/MI in the future.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

BMC cardiovascular disorders - 19(2019), 1 vom: 27. Dez., Seite 314

Sprache:

Englisch

Beteiligte Personen:

Hao, Yi-Dan [VerfasserIn]
Ohene, Bright Eric [VerfasserIn]
Yang, Shi-Wei [VerfasserIn]
Zhou, Yu-Jie [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Coronary artery disease
Heterogeneities of phenotype
Journal Article
Myocardial infarction
Research Support, Non-U.S. Gov't
Review
Video-Audio Media

Anmerkungen:

Date Completed 22.06.2020

Date Revised 22.06.2020

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12872-019-01303-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM304819689