Myocardial Infarction in a Young Female Patient with Subtotal Occlusion of the Mid OM Branch: A Case Report and Review of Potential Causes

Abstract

Chest pain is a common presenting symptom in emergency departments, and its evaluation and management require careful consideration of various potential causes, ranging from benign musculoskeletal pain to serious cardiac conditions. Myocardial infarction (MI) is a well-known cause of chest pain, particularly in older individuals with risk factors such as hypertension, hyperlipidemia, and smoking history. However, MI in young patients without significant risk factors is relatively uncommon and can pose diagnostic challenges. In this case report, we describe the case of a 26-year-old female with no pertinent past medical history who presented to ED with acute chest pain and was diagnosed with a subtotal occlusion of the mid obtuse marginal (OM) branch of the coronary artery requiring two drug eluting stents to be placed.