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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=3298;epage=3301;aulast=Das |
| _version_ | 1811217567017074688 |
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| author | Debasish Das Tutan Das Subhas Pramanik |
| author_facet | Debasish Das Tutan Das Subhas Pramanik |
| author_sort | Debasish Das |
| collection | DOAJ |
| 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 μmol/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. |
| first_indexed | 2024-04-12T06:56:58Z |
| format | Article |
| id | doaj.art-4b26adc02f884f8baf3337e813f142e4 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-12T06:56:58Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-4b26adc02f884f8baf3337e813f142e42022-12-22T03:43:06ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011163298330110.4103/jfmpc.jfmpc_1539_21Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a youngDebasish DasTutan DasSubhas PramanikWe 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 μmol/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.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=3298;epage=3301;aulast=Dasarterycoronarydiseasehyperhomocysteinemiayoung |
| spellingShingle | Debasish Das Tutan Das Subhas Pramanik Hyperhomocysteinemia presenting as exclusive small vessel coronary artery disease (CAD) in a young Journal of Family Medicine and Primary Care artery coronary disease hyperhomocysteinemia 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 | artery coronary disease hyperhomocysteinemia young |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=3298;epage=3301;aulast=Das |
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