Acute myocardial infarction related to cocaine use. Report of a case
Henne, O.; Martínez-Sánchez, C.; Peña, M.; González, H.; Muñoz, M.; Alexánderson, E.; Arceo, A.; Lupi, E.
Archivos del Instituto de Cardiologia de Mexico 65(6): 528-534
1995
ISSN/ISBN: 0020-3785 PMID: 8948687 Document Number: 440199
Cocaine use has been associated with ischemic syndromes, especially angor pectoris, myocardial infarction, cardiac arrhythmias and sudden death. A significant number of persons suffering from myocardial infarction associated with cocaine abuse do not have significant coronary atherosclerosis, and the mechanism for infarction in these patients have remained obscure. This report describes a young man with angiographically normal coronary arteries in whom cocaine abuse probably produced coronary artery spasm leading to coronary thrombosis and infarction.