Amphetamine-related acute myocardial infarction due to coronary artery spasm
Hung, M.J.; Kuo, L.T.; Cherng, W.J.
International Journal of Clinical Practice 57(1): 62-64
2003
ISSN/ISBN: 1368-5031 PMID: 12587947 Document Number: 562809
A 27-year-old man developed acute myocardial infarction after intravenous amphetamine use. A coronary angiogram showed plaques in the mid-portion of the left anterior descending artery which developed coronary artery spasm after administration of intracoronary ergonovine. The findings in this case suggest that these coronary artery plaques played a role in the endothelial dysfunction resulting from amphetamine use, and that induction of coronary arterial spasm was the likely mechanism of amphetamine-related acute myocardial infarction.
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