AI Article Synopsis
- A 13-year-old girl was diagnosed with vasospastic angina post-mortem, after experiencing recurrent toothaches since she was 10.
- Despite normal evaluations at a medical center, she suffered a severe toothache and later collapsed at school, leading to her death.
- Autopsy revealed significant coronary artery issues and multiple heart tissue injuries, indicating that her toothache was a symptom of a serious underlying heart condition, highlighting that vasospastic angina can affect young individuals and lead to sudden cardiac events.
Article Abstract
Vasospastic angina was confirmed in a 13-year-old female patient at autopsy. The patient's only symptom was recurrent toothache, which began when she was 10 years old. In November 2000, she was evaluated at our medical center; however, all examinations were judged normal. Six months later, she suffered a severe toothache. She went to school the next morning after the symptoms improved. She lost consciousness at school and was given cardiopulmonary resuscitation but could not be revived. At autopsy, her three coronary vessels showed marked intimal hyperplasia, and multiple focal myocardial infarctions were observed in the lateral wall of the left ventricle. The patient's only clinical symptom was toothache and none of the physicians realized that this was caused by angina. Vasospastic angina begins at a young age and is one of the causes of sudden death in adolescents.
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| http://dx.doi.org/10.1007/s00246-006-1374-4 | DOI Listing |
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