Hanan Salah Al Hajri, Eman Mahmoud El Husseiny and Hasan Qayyum*
Department of Emergency Medicine, Shaikh Shakhbout Medical City, UAEFulltext PDF
A 12-year-old boy known to have Duchenne Muscular Dystrophy (DMD) presented to our Emergency Department (ED) with acute onset central chest pain. A 12-lead Electrocardiogram (ECG) was performed showing ST-segment elevation with reciprocal changes. An echocardiogram showed reduced Left Ventricular (LV) systolic function with an Ejection Fraction (EF) of 45%. Initial cardiac biomarkers were significantly elevated, with Troponin-T result recorded at 7,065 ng/L (reference range 0 ng/L to 14 ng/L). The patient was admitted to the pediatric intensive care unit with differential diagnoses of acute myocardial infarction or acute myocardial injury related to cardiomyopathy and commenced on an ACE inhibitor. Computerized Tomography (CT) of the coronary arteries was performed showing normal coronary arteries and cardiac anatomy. The patient was discharged on day 5 and continues to follow up in pediatric cardiology clinic. He was commenced on a beta blocker on 1 month follow up when he was asymptomatic.
Emergency service; Hospital; Cardiovascular medicine; Cardiomyopathy; Muscular dystrophy, Duchenne; Myocardial injury
Al Hajri HS, El Husseiny EM, Qayyum H. Chest Pain with Electrocardiographic Changes in a Child with Duchenne Muscular Dystrophy. Ann Clin Case Rep. 2022; 7: 2229..