ST-segment elevation myocardial infarction in a 37-year-old man with normal coronaries--it is not always cocaine!
Heart disease is one of the leading causes of death in the United States. With the increase in substance abuse, the incidence of acute myocardial infarction (MI) in younger population has been on the rise. Traditionally, cocaine has been blamed for acute MI; however, recently, there have been more incidences of marijuana as an inciting factor. We present a case of marijuana-induced acute MI and discuss the proposed mechanism.
Division of Cardiology, Wyckoff Heights Medical Center, New York-Presbyterian Health Care System, Affiliate Weil Medical College of Cornell University, Brooklyn, NY, USA. drshitij@yahoo.com
Shitij
S
Arora
Hemant
H
Goyal
Prachi
P
Aggarwal
Atul
A
Kukar
D000328:Adult; D002637:Chest Pain / Q000209:etiology; D019970:Cocaine-Related Disorders / Q000150:complications; D017023:Coronary Angiography; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000503:physiopathology; 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
D058986:Phosphodiesterase 5 Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate