ISSN 1016-5169 | E-ISSN 1308-4488
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Chest pain with myocardial ischemia in a child: should we think about coronary slow flow phenomenon? [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2013; 41(7): 646-650 | DOI: 10.5543/tkda.2013.50951

Chest pain with myocardial ischemia in a child: should we think about coronary slow flow phenomenon?

Abdullah Kocabaş, Fırat Kardelen, Gayaz Akçurin, Halil Ertuğ
Department of Pediatrics, Division of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Antalya

The coronary slow flow phenomenon (CSFP) is an angiographic finding characterized by delayed opacification of epicardial coronary arteries in the absence of stenotic lesion. Herein, we present a 13-year-old boy with recurrent chest pain who was diagnosed with acute ST-segment elevation myocardial infarction associated with CSFP, which has not been reported previously in the pediatric age group. Coronary angiography revealed only the presence of slow flow in the left anterior descending (LAD) coronary artery. Myocardial perfusion scintigraphy revealed a reversible perfusion defect in the LAD territory, which regressed partially at rest and showed complete improvement after dipyridamole infusion. All the symptoms, electrocardiogram abnormalities and cardiac markers returned to normal after dipyridamole treatment during the follow-up. We conclude that CSFP should be kept in mind in the differential diagnosis of chest pain with myocardial ischemia in the pediatric age group.

Keywords: chest pain, children, coronary slow flow phenomenon, myocardial ischemia.

How to cite this article
Abdullah Kocabaş, Fırat Kardelen, Gayaz Akçurin, Halil Ertuğ. Chest pain with myocardial ischemia in a child: should we think about coronary slow flow phenomenon?. Turk Kardiyol Dern Ars. 2013; 41(7): 646-650

Corresponding Author: Abdullah Kocabaş, Türkiye
Manuscript Language: English


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