Premature atherosclerosis and acute coronary syndrome in a child with end-stage renal disease

• Published in: The Gazette of the Egyptian Paediatric Association Vol. 69; no. 1; pp. 1 - 5
• Main Authors: Becerir, Tülay, Yılmaz, Münevver, Girişgen, İlknur, Yılmaz, Neslihan, Gürses, Dolunay, Ufuk, Furkan, Nar, Gökay, Yüksel, Selçuk
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 11-10-2021; Springer; Springer Nature B.V; SpringerOpen
• Subjects: Acute coronary syndrome; Acute coronary syndromes; Atherosclerosis; Blood clots; Calcification; Cardiac arrhythmia; Cardiovascular diseases; Case Report; Case reports; Catheters; Children; Cholesterol; Chronic kidney failure; Cinacalcet; Congenital diseases; Coronary vessels; Disodium pamidronate; Electrocardiogram; Electrocardiography; End-stage renal disease; Health aspects; Heart attacks; Hemodialysis; Hypertension; Intellectual disabilities; Kidney diseases; Medical imaging; Medical research; Medicine; Medicine & Public Health; Medicine, Experimental; Mental illness; Metabolic disorders; Mortality; Myocardial infarction; Myocarditis; Patients; Pediatrics; Peritoneal dialysis; Tomography; Trauma; Veins & arteries; Myocardial infarction; End-stage renal disease; Children; Acute coronary syndrome
• ISSN: 2090-9942; 1110-6638; 2090-9942
• DOI: 10.1186/s43054-021-00069-9

Background
Although acute coronary syndrome is rare in children, it is the most important cause of mortality in children with end-stage renal disease.
Case presentation
Here, a 16-year-old pediatric patient, who has been on dialysis since the age of 3, and who was diagnosed with acute coronary syndrome and placed an emergency percutaneous transcatheter stent in the left anterior descending branch of the left coronary artery is presented. It is important that the present patient does not have any electrocardiography findings in favor of cardiovascular disease and that he cannot fully explain the complaint of chest pain due to his mental retardation.
Conclusions
Early detection of acute coronary syndrome is life-saving, especially in children with chronic kidney disease.