[Acute myocardial infarct caused by nicotine-induced erythrocytosis].
A 29-year-old heavy smoker presented with an acute myocardial infarction and hematocrit of 70%. At immediate coronary angiography a complete occlusion of the right coronary artery was found. After intracoronary urokinase the coronary arteries were found to be completely normal. Causes for the erythrocytosis other than smoking could be excluded. We conclude that thrombotic coronary occlusion with acute myocardial infarction was caused by erythrocytosis due to heavy smoking.
Andreas
S
S
Abteilung Kardiologie und Pulmonologie, Medizinische Universitsklinik Göttingen.
Herrmann
K S
KS
Kreuzer
H
H
Wiegand
V
V
D000328:Adult; D017023:Coronary Angiography; D003327:Coronary Disease / Q000139:chemically induced*; D003328:Coronary Thrombosis / Q000139:chemically induced* / Q000000981:diagnostic imaging; D004305:Dose-Response Relationship, Drug; D006400:Hematocrit; D006801:Humans; D008297:Male; D009538:Nicotine / Q000009:adverse effects*; D011086:Polycythemia / Q000139:chemically induced* / Q000000981:diagnostic imaging; D012907:Smoking / Q000009:adverse effects*
D009538:Nicotine
Akuter Myokardinfarkt bei durch Nikotinabusus induzieter Erythrozytose.