[ST elevation myocardial infarction after therapeutic injection of adrenaline].
A case of acute myocardial infarction (AMI) following accidental iatrogenic overdose by adrenaline injection is described in a male aged 55 years. This patient was given 1 mg of adrenaline due to anaphylactic symptoms. Afterwards he presented with angina pectoris, dyspnoea and ST-segment elevation in the ECG. Plasma TnT and CK-MB were raised. A coronary angiography revealed a 66% stenosis of RCA. This patient had an asymptomatic RCA stenosis that probably became symptomatic due to coronary artery spasm related to adrenaline injection and thereby presented symptoms and signs of AMI.
Sygehus Fyn, Svendborg, Medicinsk Forskningsafdeling. jrd@dadlnet.dk
Jesper Rømhild
JR
Davidsen
Jess
J
Lambrechtsen
Kenneth
K
Egstrup
D000322:Adrenergic Agonists / Q000008:administration & dosage / Q000009:adverse effects*; D000787:Angina Pectoris / Q000139:chemically induced; D062787:Drug Overdose; D004562:Electrocardiography; D004837:Epinephrine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008508:Medication Errors; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000628:therapy; D014463:Ultrasonography
D000322:Adrenergic Agonists; D004837:Epinephrine