Polat Nihat, Ardıç Idris, Akkoyun Murat, Vuruşkan Ertan
Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Department of Cardiology, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey.
Turk Kardiyol Dern Ars. 2013 Dec;41(8):738-42. doi: 10.5543/tkda.2013.37542.
Spontaneous coronary artery dissection (SCAD) is a rare and uncommon case of sudden cardiac death and acute coronary syndrome. Herein, we present a 13-year-old boy with chest pain who was diagnosed with acute ST-segment elevation myocardial infarction associated with SCAD, possibly caused by the consumption of an energy drink, which has not been reported previously in the pediatric age group. On coronary angiography, the left anterior descending artery showed extensive dissection from the distal part of the vessel. Based on the morphology of the vessel with a dissection and TIMI flow grade III, it was decided to manage this patient conservatively with close follow-up. The aim of this report is to highlight the risks associated with the consumption of caffeinated energy drinks in children.
自发性冠状动脉夹层(SCAD)是一种导致心脏性猝死和急性冠状动脉综合征的罕见病例。在此,我们报告一名13岁胸痛男孩,被诊断为与SCAD相关的急性ST段抬高型心肌梗死,可能由饮用能量饮料所致,这在儿童年龄组中此前未见报道。冠状动脉造影显示,左前降支动脉自血管远端出现广泛夹层。基于血管夹层形态及TIMI血流分级为III级,决定对该患者进行保守治疗并密切随访。本报告的目的是强调儿童饮用含咖啡因能量饮料的相关风险。