| A case of acute myocardial infarction associated with amphetamine abuse |
|
Sung Ho Lee, Kyung Eun Lee, Kwang Je Lee, Sang Wook Kim, Tae Ho Kim, Chee Jeong Kim, Wang Seong Ryu |
|
경희대학교 의과대학 순환기내과학교실 |
| 증례 : 암페타민 남용과 연관되어 발생한 급성 심근경색증 1예 |
|
이성호.이경은.이광제.김상욱.김태호.김치정.류왕성, Kyung Eun Lee, Kwang Je Lee, Sang Wook Kim, Tae Ho Kim, Chee Jeong Kim, Wang Seong Ryu |
|
|
|
|
|
|
| Abstract |
|
Acute myocardial infarction is a rarely reported complication of amphetamine abuse. We report here on a case of a
39-year-old man who presented with cardiac enzyme patterns, a clinical history and an ECG that were all compatible
with acute ST elevation myocardial infarction. This was probably the result from self administration of intravenous
amphetamine. The initial coronary angiogram (CAG) showed total occlusion of the distal right coronary artery (RCA)
with a large thrombus. Because the RCA was tortuous and removal of thrombus was thought not to be easy, he was
treated with thrombolytic therapy and intravenous heparin followed by oral warfarin. The follow-up CAGs at 2 weeks
and 10 months later showed almost complete resolution of the coronary abnormalities. In this case, the early coronary
angiography was thought to be helpful to determine the relative contribution of thrombus and spasm that were associated
with amphetamine abuse.(Korean J Med 73:428-431, 2007) |
| Key Words:
Myocardial infarction, Amphetamine |
|
PDF Links
Full text via DOI
Download Citation
