Ephedrine-induced acute myocardial infarction in a young athlete: a case of thrombus management.
A case of acute myocardial infarction in a young athlete provoked by ephedrine abuse has been described in this study. An intracoronary thrombus found in the left anterior descending coronary artery at urgent angiography was successfully removed using the Pronto (Vascular Solutions, Minneapolis, Minnesota) aspiration catheter. The intravascular ultrasound examination performed thereafter showed a nonobstructive atherosclerotic plaque in the culprit artery; there was no evidence whatsoever of possible plaque disruption. The result of percutaneous coronary intervention was satisfactory, and no stent implantation was needed. The patient experienced no adverse events until his outpatient visit 3 months later.
Kranjec
Igor
I
Department of Cardiology, University Medical Center, Ljubljana, Slovenia. igor.kranjec@kclj.si
Cerne
Andreja
A
Noc
Marko
M
D000328:Adult; D017023:Coronary Angiography; D004562:Electrocardiography; D004809:Ephedrine / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D013177:Sports; D017131:Thrombectomy / Q000379:methods*; D014662:Vasoconstrictor Agents / Q000009:adverse effects*
D014662:Vasoconstrictor Agents; D004809:Ephedrine