Myocardial infarction induced by coronary vasospasm after self-administration of epinephrine.
A case of a 30-year-old man who developed a myocardial infarction after self-administering an Epi-Pen for an episode of idiopathic anaphylaxis is reported. The patient had numerous risk factors for coronary artery disease, and it was suspected that epinephrine-induced coronary spasm caused the infarct. The Epi-Pen Junior may be indicated in such adults with numerous risk factors for coronary artery disease who are at risk for recurrent anaphylaxis.
Saff
R
R
Department of Medicine, Medical College of Wisconsin, Milwaukee.
Nahhas
A
A
Fink
J N
JN
D000328:Adult; D000707:Anaphylaxis / Q000188:drug therapy; D003327:Coronary Disease / Q000453:epidemiology; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000150:complications*; D004837:Epinephrine / Q000008:administration & dosage* / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D012307:Risk Factors; D012646:Self Administration
D004837:Epinephrine