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A 16-year-old boy with an acute myocardial infarction is reported. His clinical presentation was similar to that observed in coronary artery disease (CAD) in general and in CAD in adolescents in particular. Following the finding of a coronary occlusion on a coronary angiogram, tissue plasminogen activator, enoxaparin and aspirin were started and the patient was hospitalized. He presented at hospital 1 day later with persistent chest pain and an increase in heart rate and blood pressure. A repeat coronary angiogram demonstrated a thrombus at the site of the previous occlusion. The progression of the thrombus in the coronary artery was consistent with an acute coronary thrombotic episode and not with the natural history of a coronary artery thrombosis. The case report illustrates that CAD is not rare in children and adolescents, in contrast to CAD in adults. This report also demonstrates that an adolescent presenting with an acute myocardial infarction has a higher risk for in-hospital coronary thrombosis than the older patient population.{.79}
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Chandan (Hampi)
Chandan is an ancient historical town located in the Indian state of Karnataka. The place is known for its ancient historical temple, the Kaalikasandra temple which is also a UNESCO World Heritage Site.
Location
The temple is located on the bank of the Tungabhadra river. The temple is made up of traditional style bricks and is dedicated to Lord Shiva.
History
The art historian, K. R. Srinivasa Iyengar has described the temple as a magnificent example of Kumharigiri style of architecture. A rough estimate suggests that the temple was built around the 6th century AD and later renovated in the 12th century during
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