RT Journal Article SR Electronic T1 Myocardial infarction with proximal occlusion of the left anterior descending coronary artery in a 22-year-old patient with polycythaemia vera JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 46 OP 47 DO 10.7861/clinmedicine.17-1-46 VO 17 IS 1 A1 Alexander Nahler A1 David Fuchs A1 Christian Reiter A1 Daniel Kiblböck A1 Clemens Steinwender A1 Thomas Lambert YR 2017 UL http://www.rcpjournals.org/content/17/1/46.abstract AB In this article, we report on a 22-year-old patient with myocardial infarction, which was the initial manifestation of polycythaemia vera. The awareness of myeloproliferative disorders as possible underlying disease – especially in young patients presenting with myocardial infarction – is crucial for clinical management, as a missed diagnosis can worsen the patient's further prognosis.