title: Non-ST-segment elevation myocardial infarction in the setting of sexual intercourse following the use of cocaine and sildenafil.
abstract: Acute myocardial infarction (MI) in the setting of sexual intercourse following the concomitant use of cocaine, alcohol, and sildenafil has not been previously reported. We present a case of a middle-aged patient with no previous history of angina pectoris or coronary artery disease who presents with severe ischemic chest pain and an MI induced by cocaine, alcohol, sildenafil, and sexual intercourse.
authors.affiliation: Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Division of Cardiology, Department of Medicine, New York, NY, USA.
authors.forename: Sherry
authors.initials: S
authors.lastname: Megalla
authors.forename: Hussein
authors.initials: H
authors.lastname: Shaqra
authors.forename: Narendra C
authors.initials: NC
authors.lastname: Bhalodkar
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D019970:Cocaine-Related Disorders / Q000150:complications*; D003075:Coitus; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D058986:Phosphodiesterase 5 Inhibitors / Q000009:adverse effects*; D010879:Piperazines / Q000009:adverse effects*; D011687:Purines / Q000009:adverse effects; D000068677:Sildenafil Citrate; D013450:Sulfones / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D058986:Phosphodiesterase 5 Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate