Myocardial infarction in a patient with sickle cell trait. Treatment dilemmas and imaging findings at follow-up.

BACKGROUND

A 43-year-old woman with a 2-hour history of chest pain presented with an anterior infarction and was referred for primary percutaneous coronary intervention.

INVESTIGATIONS: Physical examination, electrocardiography, laboratory tests, coronary angiography, abdominal angiography, cardiac CT, histology, immunohistochemistry, intravascular ultrasound.

DIAGNOSIS: ST-segment elevation anterior myocardial infarction.

MANAGEMENT: Coronary angiography, antithrombotic therapy, statin, angiotensin-converting enzyme inhibitor, thrombectomy, coronary artery bypass graft surgery.