title: [Suicide attempt with insulin as a cause of myocardial infarct].
abstract: We report the case of a 31 year old healthy man without coronary risk factors, who made a suicide attempt with insulin caused by a chronic schizoid psychosis. The man was admitted to the hospital 14 hours later with non-specific chest pain and dizziness as clinical signs of a lateral wall myocardial infarction. The coronary angiography demonstrated intact coronary circulation and a broad area of myocardial damage of the left ventricular lateral wall. It is hypothesized that coronary artery vasospasm induced by hypoglycemia/hyperinsulinemia caused the myocardial infarction.
authors.affiliation: Innere Abteilung St. Marien Hospital Borken GmbH Am Boltenhof 7 46325 Borken, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Meier
mesh_terms: D017023:Coronary Angiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D006946:Hyperinsulinism / Q000150:complications; D007003:Hypoglycemia / Q000150:complications; D007328:Insulin / Q000506:poisoning*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced*; D012557:Schizoid Personality Disorder; D013406:Suicide, Attempted; D013997:Time Factors
chemical_list: D007328:Insulin