What is the youngest MI you have seen? I mean people with no PMH and no drug use.

[nebero]

Mine is 35 and I am afraid it is going to make me order EKG and cardiac enzymes on every cp patient. How conservative are you guys dealing with very young cp patients with no PMH and drug use.

[bike mike]

I work in cardiac rehab and have seen several pts over the past few years that were in their early to mid 30's that were s/p MI, PCI, and/or CABG. All had family history of early onset cardiovascular disease.

[Just Steve]

worked a 34 year old sudden cardiac death

[hrjames]

29, s/p CABG x 1. He didn't present to me with the MI, but I've seen him a few times since in urgent care for other things. (he's now 31)

[crystaltide]

From personal experience, my dad was 37 - his dad had his first MI at around 50.

[EMEDPA]

saw a 32 yr old yesterday. bad genes + obese+smoker. 3 vessel cabg.

youngest ever was 24(on meth). my dad was a doc and one of his classmates died at 21 of an mi. known cholesterol>800.

[flyingsquirrel]

I had a 17yo who presented with an MI and significant cardiomyopathy. He came to the ED from a juvenile detention facility and hadn't had any medical care for at least 15 years so we don't really know what came first.

Also, my paternal grandfather died at 35 from his 3rd MI. My father takes great care of himself and was able to wait until 56 until he had one...

[andersenpa]

I think 29-34 range. Bad familial hyperlipidemia, type I diabetics.

[TJR]

Last week had a 30 y/o male, non-smoker, no family history of CAD, and no past medical history who works as engineer that presented to the ED after a night of drinking with his buddies for n/v. Patient has never been to an ED before and normally doesn't drink all that much. ROS included some mild substernal chest discomfort. First thought was gastritis however, for completeness ordered an EKG then followed it by calling the cardiologist for an acute STEMI. Patient outcome was good with a 2 vessel cabg. Unfortunate luck I guess.

[quirkymedic]

We had a 25 yo come to our ER c/o "not feeling right". Diaphoretic, pale. He walked from his house to the ER. Coded at the triage desk. We got him back, but wow. Young. No PMHX, he was samoan, a big guy, but not huge. Ended up getting a stent.

[quirkymedic]

We had a 25 yo come to our ER c/o "not feeling right". Diaphoretic, pale. He walked from his house to the ER. Coded at the triage desk. We got him back, but wow. Young. No PMHX, he was samoan, a big guy, but not huge. Ended up getting a stent.

[EMEDPA]

We had a 25 yo come to our ER c/o "not feeling right". Diaphoretic, pale. He walked from his house to the ER. Coded at the triage desk. We got him back, but wow. Young. No PMHX, he was samoan, a big guy, but not huge. Ended up getting a stent.

marfans?.....

[EMEDPA]

We had a 25 yo come to our ER c/o "not feeling right". Diaphoretic, pale. He walked from his house to the ER. Coded at the triage desk. We got him back, but wow. Young. No PMHX, he was samoan, a big guy, but not huge. Ended up getting a stent.

marfans?.....

[CDHart]

I took care of a 19 year old who was on his 2nd CABG d/t Kawasaki's, I don't remember how old he was for his first. It was hard, because I have a 14 year old son who also had KD; luckily we caught it early and he hasn't had any complications.

[CDHart]

I took care of a 19 year old who was on his 2nd CABG d/t Kawasaki's, I don't remember how old he was for his first. It was hard, because I have a 14 year old son who also had KD; luckily we caught it early and he hasn't had any complications.

[NoClinic4Me]

30, woman. Marathon runner, perfect health. Bad genes. Dad and all his brothers had early MI deaths. She did fine thankfully. Got her to the cath lab in 20 min from the door.

 

Pat

[NoClinic4Me]

30, woman. Marathon runner, perfect health. Bad genes. Dad and all his brothers had early MI deaths. She did fine thankfully. Got her to the cath lab in 20 min from the door.

 

Pat

[Guest]

Not a PA but I work in ER - and my answer is 24 :/

[vaston]

Is this discussion inclusive of HOCM/IHSS? It may not be a true MI, but it does fall under sudden cardiac death.

[marilynpac]

19y/o...many yrs ago working as a nurse in a cardiac care unit....young man was in college and ordered some amphetamines from back of a magazine to take during finals...he downed them with a beer and was on our unit for his finals...I understand this is due to drug use, but he wasn't a drug user just wanted to get through his finals....had one bad MI...

[kristone86]

Saw a 16 year old last week acute STEMI, no drug use, no PMHx... Pediatrician thought possibly undiagnosed Kawasaki's...

[nebero]

Scary! Should we do enzymes on every one older than 10?

[merseur]

30 yrs old. Had 5 vessel cabg.