Acute myocardial infarction in a young adult with hyperhomocysteinaemia secondary to tropical sprue. (October 2022)

• Record Type: Journal Article
• Authors: Vasireddy, Anila; Mehta, Ami Mehul; Acharya, Raviraja V; Singh, Brij Mohan Kumar; Madhyastha, Sharath P
• Is Part Of: Tropical doctor. Volume 52:Number 4(2022)
• Page Start: 581
• Page End: 582
• Publication Date: 2022-10
• Subjects: sprue -- tropical -- myocardial infarction -- coronary disease; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/00494755221116722
• Languages: English
• ISSNs: 0049-4755

Abstract

Coronary heart disease and its complications remain the most common cause of morbidity and mortality throughout the world. In addition, its incidence among adults <45 years of age has also been steadily increasing in the past few decades. Besides the typical aetiology such as coronary artery abnormalities or autoimmune disorders, increasing rates can be attributed to escalating trends of obesity, type 2 diabetes mellitus, and illicit abuse of drugs such as cocaine and amphetamines in the younger population. 1 Every cardiovascular event in a young adult must be thoroughly investigated as the aetiology is typically unconventional. Our case reports a young man who developed an acute inferior wall myocardial infarction (IWMI) in the setting of hyperhomocysteinaemia secondary to vitamin B12-folate deficiency itself due to tropical sprue.