Heart Views

CASE REPORT
Year
: 2015  |  Volume : 16  |  Issue : 1  |  Page : 25--29

Acute Myocardial Infarction in a Young Lady due to Vitamin B12 Deficiency Induced Hyperhomocysteinemia


Warkaa Al Shamkani, Nagham Saeed Jafar, Sunil Roy Narayanan, Anil Kumar Rajappan 
 Department of Cardiology, Belhoul Speciality Hospital, Dubai, United Arab Emirates

Correspondence Address:
Dr. Sunil Roy Narayanan
Department of Cardiology, Belhoul Speciality Hospital, P. O. Box 5527, Dubai
United Arab Emirates

Hyper-homocysteinemia is a risk factor for coronary artery disease in young patients. A 32 years old female without any conventional risk factors except obesity presented with acute anterior wall myocardial infarction (MI). Her echocardiography showed anterior wall hypokinesia with moderate left ventricular dysfunction. Angiography showed tight stenosis of the proximal left anterior descending (LAD) and borderline lesion in left circumflex coronary artery (LCX). She underwent percutaneous coronary intervention (PCI) to LAD with good result. Her blood tests showed low vitamin B12, folate and serum iron levels and elevated serum homocysteine level. She was given folic acid and vitamin B12 and her homocysteine levels normalized. This case demonstrates that hyperhomocysteinemia caused by nutritional deficiency of vitamin co factors may lead to MI. Hyperhomocysteinemia should be considered in the evalauation of young people with MI, especially those without conventional risk factors.


How to cite this article:
Shamkani WA, Jafar NS, Narayanan SR, Rajappan AK. Acute Myocardial Infarction in a Young Lady due to Vitamin B12 Deficiency Induced Hyperhomocysteinemia.Heart Views 2015;16:25-29


How to cite this URL:
Shamkani WA, Jafar NS, Narayanan SR, Rajappan AK. Acute Myocardial Infarction in a Young Lady due to Vitamin B12 Deficiency Induced Hyperhomocysteinemia. Heart Views [serial online] 2015 [cited 2019 Jul 17 ];16:25-29
Available from: http://www.heartviews.org/article.asp?issn=1995-705X;year=2015;volume=16;issue=1;spage=25;epage=29;aulast=Shamkani;type=0