An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use. | [Pakistan Journal of Medical Sciences • 2013]

Author(s):

1. Julia Chia-Yu Chang: Emergency Department, Taipei Veterans General Hospital, National Yang-Ming University, School of Medicine, Taipei, Taiwan

2. Chian-Ze Peng: Emergency Department, Taipei Veterans General Hospital, National Yang-Ming University, School of Medicine, Taipei, Taiwan

3. Chorng-Kuang How: Emergency Department, Taipei Veterans General Hospital, National Yang-Ming University, School of Medicine, Taipei, Taiwan

4. Mu-Shun Huang: Emergency Department, Taipei Veterans General Hospital, National Yang-Ming University, School of Medicine, Taipei, Taiwan

Abstract:

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 STelevation 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.

Page(s): 1059-1061

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 29, Issue: 4, Year: 2013

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