Myocardial Infarction associated with methadone and/or dihydrocodeine.
Chest pain and myocardial infarction occurring in young people with angiographically normal coronary arteries is well documented. Opiates have a cardioprotective effect and are used in acute heart attacks. We described a 22-year-old opioid addicted male patient who suffered a myocardial infarction following the consumption of methadone and dihydrocodeine.
Backmund
M
M
General Hospital München Schwabing, Munich, Germany. Markus.Backmund@kms.mhn.de
Meyer
K
K
Zwehl
W
W
Nagengast
O
O
Eichenlaub
D
D
D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D003061:Codeine / Q000009:adverse effects* / Q000031:analogs & derivatives*; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D008297:Male; D008691:Methadone / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000628:therapy; D009765:Obesity / Q000150:complications; D009293:Opioid-Related Disorders / Q000150:complications* / Q000188:drug therapy; D012907:Smoking / Q000009:adverse effects
D000701:Analgesics, Opioid; C014481:dihydrocodeine; D008691:Methadone; D003061:Codeine