Acute ST-Elevation Myocardial Infarction (STEMI) in Young Male with Nephrotic Syndrome: A Case Report

Background: In young males, an acute myocardial infarction is an uncommon event. Thromboembolism caused by nephrotic syndrome (NS) is one of the pathophysiologies of their infarctions. Objective: This study aimed to elaborate the case of acute St-Elevation Myocardial Infarction (Stemi) in young male with nephrotic syndrome Case Presentation: A-24-y.o male patient, came with prolonged typical chest pain 72 hours before admission. The electrocardiogram (ECG) from the chest leads indicated ST-Elevation. Cardiac troponin was significantly elevated. For the last two weeks, he had been experiencing nephrotic syndrome symptoms including anasarca edema. It was supported by laboratory data which showed proteinuria, hyperlipidemia, and hypoalbuminemia. Coronary angiography showed complete acute occlusion of the left proximal anterior descending artery segment. Coronary angiography indicated complete acute occlusion of the left proximal anterior descending artery segment. The hypercoagulable condition in this patient was seen to be influenced by the increased fibrinogen levels, implying a correlation between coronary thrombosis and nephrotic syndrome. Conclusion: Nephrotic syndrome should be considered as a contributing factor in any patient presenting with acute STEMI, particularly in young males.