Evidence map›Paper›PMID 42274173›Full record

ArticleJACC. Case reports2026

Early-Onset Myocardial Infarction in a 13-Year-Old With Homozygous Familial Hypercholesterolemia Managed by PCI.

Fahad Irshaad Siddiqui, Ali Ghaffar, Inam Ur Rehman, Muhammad Zubair Zaffar, Abeera Hassan, Yasir Mehmood, Sugat Adhikari, Samama Noor

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Fahad Irshaad SiddiquiDepartment of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan, Punjab, Pakistan.
Ali GhaffarDepartment of Cardiology, Nishtar Medical College, Multan, Punjab, Pakistan.
Inam Ur RehmanDepartment of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan, Punjab, Pakistan.
Muhammad Zubair ZaffarDepartment of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan, Punjab, Pakistan.
Abeera HassanDepartment of Cardiology, Multan Medical and Dental College, Multan, Punjab, Pakistan.
Yasir MehmoodDepartment of Cardiology, Nishtar Medical College, Multan, Punjab, Pakistan.
Sugat AdhikariDepartment of Cardiology, Manmohan Cardiothoracic, Vascular and Transplant Center, Institute of Medicine, Kathmandu, Nepal. Electronic address: Sugat.adhikari@gmail.com.
Samama NoorDepartment of Cardiology, Nishtar Medical College, Multan, Punjab, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHomozygous familial hypercholesterolemia is an autosomal codominant genetic disorder leading to highly elevated low-density lipoprotein cholesterol and premature atherosclerosis. CASE SUMMARY: A 13-year-old boy with no comorbidities had acute chest pain and cardiogenic shock. Electrocardiogram documented anterior ST-segment elevation. Echocardiography revealed left ventricular ejection fraction of 35%. Lipid panel showed total cholesterol of 616 mg/dL and low-density lipoprotein cholesterol of 541 mg/dL. Physical examination was performed with widespread xanthomas and corneal arcus. Coronary angiography revealed severe left main and 2-vessel disease. He received successful elective percutaneous coronary intervention of the left main to left anterior descending with TIMI flow grade 3.

conclusionsThis case points out the necessity of early diagnosis of homozygous familial hypercholesterolemia, intensive lifelong lipid-lowering therapy, and family cascade screening for averting premature coronary events.

Indexed as

familial hypercholesterolemiahomozygous FHpediatric myocardial infarctionpercutaneous coronary interventionxanthomas

Identifiers

PMID42274173
PMCPMC13261876

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