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Case report
Acute myocardial infarction in a young elite cyclist: a missed opportunity
  1. Christopher SG Thompson1,2,
  2. Marc Pass3,
  3. Thomas Timothy4,
  4. John Hung5 and
  5. Mohaned Egred6
  1. 1 Anatomy, Division of Health Sciences, University of Edinburgh, Edinburgh, UK
  2. 2 Department of Otolaryngology, NHS Lothian, UK
  3. 3 Department of Anaesthesia, NHS Lothian, Edinburgh, UK
  4. 4 Newcastle University, Newcastle upon Tyne, UK
  5. 5 Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK
  6. 6 Department of Cardiology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
  1. Correspondence to Mr Christopher SG Thompson, christhompson3{at}


A 27-year-old elite-level professional cyclist presented to the emergency department with a 6-hour history of chest pain and vomiting after prematurely aborting a competitive event. ECG demonstrated anterior ST segment elevation myocardial infarction, and blood tests revealed a grossly elevated high-sensitivity troponin T. Emergent coronary angiography confirmed the presence of a thrombus in the mid-left anterior descending artery with possible spontaneous coronary artery dissection. The patient recovered well following balloon angioplasty and thrombus aspiration, despite delayed recognition, invasive investigation and intervention.

  • cardiovascular medicine
  • interventional cardiology
  • ischaemic heart disease
  • interventional cardiology
  • radiology (diagnostics)
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  • Contributors Case identification: TT, CSGT. Literature search: MP, CSGT, TT, JH. Manuscript writing: CSGT, MP, TT, JH, ME. Manuscript checking: CSGT, MP, TT, JH, ME. Patient’s perspective: TT.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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