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An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use

We report a case of silent acute ST-elevation myocardial infarction associated with amphetamine use in a 62 years old diabetic man. The patient was devoid of chest pain and had a normal cardiac enzyme analysis at the initial presentation. A routine electrocardiogram demonstrated acute inferior wall...

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Autores principales: Chia-Yu Chang, Julia, Peng, Chian-Ze, How, Chorng-Kuang, Huang, Mu-Shun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publicaitons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3817761/
https://www.ncbi.nlm.nih.gov/pubmed/24353688
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author Chia-Yu Chang, Julia
Peng, Chian-Ze
How, Chorng-Kuang
Huang, Mu-Shun
author_facet Chia-Yu Chang, Julia
Peng, Chian-Ze
How, Chorng-Kuang
Huang, Mu-Shun
author_sort Chia-Yu Chang, Julia
collection PubMed
description We report a case of silent acute ST-elevation myocardial infarction associated with amphetamine use in a 62 years old diabetic man. The patient was devoid of chest pain and had a normal cardiac enzyme analysis at the initial presentation. A routine electrocardiogram demonstrated acute inferior wall ST-elevation myocardial infarction. Coronary angiography confirmed a total occlusion of the posterior lateral branch of right coronary artery. The patient underwent successful percutaneous transluminal coronary angioplasty with stent placement. Amphetamine abuse may play a role in acute myocardial infarction. Adverse cardiovascular manifestations of amphetamine can occur with sudden overt chest pain or present insidiously. In view of the potential association of amphetamine and myocardial infarction, physicians should not rely only upon clinical symptoms. This report highlights the diabetic patients with amphetamine abuse should undergo a routine electrocardiogram in such circumstances.
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spelling pubmed-38177612013-12-18 An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use Chia-Yu Chang, Julia Peng, Chian-Ze How, Chorng-Kuang Huang, Mu-Shun Pak J Med Sci Case Report We report a case of silent acute ST-elevation myocardial infarction associated with amphetamine use in a 62 years old diabetic man. The patient was devoid of chest pain and had a normal cardiac enzyme analysis at the initial presentation. A routine electrocardiogram demonstrated acute inferior wall ST-elevation myocardial infarction. Coronary angiography confirmed a total occlusion of the posterior lateral branch of right coronary artery. The patient underwent successful percutaneous transluminal coronary angioplasty with stent placement. Amphetamine abuse may play a role in acute myocardial infarction. Adverse cardiovascular manifestations of amphetamine can occur with sudden overt chest pain or present insidiously. In view of the potential association of amphetamine and myocardial infarction, physicians should not rely only upon clinical symptoms. This report highlights the diabetic patients with amphetamine abuse should undergo a routine electrocardiogram in such circumstances. Professional Medical Publicaitons 2013 /pmc/articles/PMC3817761/ /pubmed/24353688 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chia-Yu Chang, Julia
Peng, Chian-Ze
How, Chorng-Kuang
Huang, Mu-Shun
An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use
title An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use
title_full An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use
title_fullStr An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use
title_full_unstemmed An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use
title_short An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use
title_sort unusual case of silent acute st-elevation myocardial infarction following amphetamine use
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3817761/
https://www.ncbi.nlm.nih.gov/pubmed/24353688
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