{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:00:05Z","timestamp":1785420005755,"version":"3.56.0"},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"unspecified","delay-in-days":9,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute myocardial infarction is rare in paediatric patients, with limited published data on incidence, diagnosis, management strategies, and outcomes. A systematic retrospective review was conducted on patients aged 1 day to 21 years who presented with concerns for ST-elevation myocardial infarction at a paediatric institution and an affiliated adult hospital (1\/2013\u201312\/2023). Out of 965 screened patients, 13 met the inclusion criteria. The cohort had a mean age of 15 years (standard deviation \u00b1 4 years), with the youngest patient being 11 months old. The study population consisted of 12 males (92%) and 1 female (8%), with ethnic distribution as follows: Caucasian (69%), African American (15%), and Hispanic (15%). An electrocardiogram with ST-segment changes was observed in all patients. Echocardiography revealed a normal ejection fraction in 54% of patients. Most patients (54%) had CHD, with three patients (23%) being undiagnosed at the time of the initial presentation. Seven patients (54%) underwent cardiac catheterization at the adult hospital, while 2 patients (15%) had coronary evaluation at the paediatric facility. One percutaneous catheter intervention was performed in a patient with known coronary stenosis at the paediatric facility. Three patients (23%), all with congenital heart disease, had cardiac arrest during cardiac catheterisation, resulting in extracorporeal membrane oxygenation cannulation. These findings suggest evaluation of pediatric patients presenting with ST-segment elevation can be performed at a pediatric center to rule out congenital heart disease, especially prior to referral to an adult facility for coronary intervention.<\/jats:p>","DOI":"10.1017\/s1047951126111366","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:19:06Z","timestamp":1773123546000},"page":"471-475","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Suspected myocardial infarction in paediatrics: a retrospective review"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0859-7154","authenticated-orcid":false,"given":"Laura","family":"Martis","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zfmcq84","id-type":"ROR","asserted-by":"publisher"}],"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavina","family":"Desai","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zfmcq84","id-type":"ROR","asserted-by":"publisher"}],"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Coons","sequence":"additional","affiliation":[{"name":"The University of Kansas Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cloutier","sequence":"additional","affiliation":[{"name":"Health Outcomes Research Department, Children\u2019s Mercy Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley K.","family":"Sherman","sequence":"additional","affiliation":[{"name":"Health Outcomes Research Department, Children\u2019s Mercy Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Hockstad","sequence":"additional","affiliation":[{"name":"The University of Kansas Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Flint","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Children\u2019s Mercy Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Malloy-Walton","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zfmcq84","id-type":"ROR","asserted-by":"publisher"}],"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"S1047951126111366_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"S1047951126111366_ref2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0170"},{"key":"S1047951126111366_ref1","first-page":"1684","volume-title":"The Science and Practice of Pediatric Cardiology","volume":"III","author":"Towbin","year":"1990"},{"key":"S1047951126111366_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"S1047951126111366_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2007.05.003"},{"key":"S1047951126111366_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90107-3"},{"key":"S1047951126111366_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90700-9"},{"key":"S1047951126111366_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.65.6.332"},{"key":"S1047951126111366_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.08.1038"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126111366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:08:48Z","timestamp":1776085728000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126111366\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S1047951126111366"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126111366","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}