Acute anterior myocardial infarction during myopericarditis treatment in a very young adult

Patients aged less than 40 years old only account for 1.2% of all patients with acute myocardial infarction (AMI) (1). Several studies as well as meta-analyses have revealed that the use of non-steroidal anti-inflammatory drugs (NSAIDs) can be associated with an increased relative risk of AMI in patients with or without heart disease or other risk factors for coronary artery disease (2-7). Diclofenac and ibuprofen, the most frequently used NSAIDs, are associated with a 40%–50% increased relative risk of AMI, even for low cumulative NSAID amounts (8). The AMI risk in patients with and without cardiovascular risk factors showed a similar elevation (8). The present paper reports an exceedingly rare presentation of AMI in a very young male associated with acute myopericarditis treatment.