Myocardial infarction in a patient with normal coronary arteries and hereditary haemorrhagic telangiectasia

Sir, We read with interest the excellent paper by Gallitelli et al.on emergencies in hereditary haemorrhagic telangiectasia (HHT).¹HHT (or Osler-Weber-Rendu disease) is an uncommon autosomaldominant vascular disorder, related to an endoglin or activin-receptor-likekinase 1 (ALK1) gene mutation, resulting in multiorgan vasculardysplasia.² HHT can lead to several