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- Paul M Swaney, B Daniel Nayman, Jose G Cabañas, and J Brent Myers.
- New Hanover Regional Medical Center, Department of Obstetrics and Gynecology.
- Am J Emerg Med. 2014 Jul 1;32(7):812.e5-7.
AbstractCardiac causes of chest pain in children are rare; however, they continue to account for 1% to 6% of all cases dependent on the practice setting and patient history. Here we describe the case of a 12-year old with fibromuscular dysplasia that died from an acute myocardial infarction. Although this specific etiology is uncommon, the case illustrates the need for broad differentials when treating children with chest pain in the emergency medicine environment. In particular, even if the specific diagnosis cannot be readily made in the prehospital or emergency department (ED) setting, the possibility of cardiac disease should be considered.
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