title: [Methylphenidate induced ST elevation acute myocardial infarction].
abstract: Adult attention deficit and hyperkinetic disorder (ADHD) is increasingly diagnosed and treated with methylphenidate. We present the case of an 20 year-old man, who was diagnosed with ADHD and suffered a ST elevation acute myocardial infarction due to coronary vasospasm related to an overdose, and subsequent episodes of myocardial injury due to the use and misuse of methylphenidate over a period of two years. We recommend an increased attention to the subscription of methylphenidate to patients, who are at risk of misuse and patients, who have a cardiovascular history.
authors.affiliation: Kardiologisk Afdeling P, Gentofte Hospital, Niels Andersens Vej 65, 2900 Hellerup, Denmark. mruwald@hotmail.com
authors.forename: Martin Huth
authors.initials: MH
authors.lastname: Ruwald
authors.forename: Anne-Christine Huth
authors.initials: AC
authors.lastname: Ruwald
authors.forename: Niels
authors.initials: N
authors.lastname: Tønder
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000188:drug therapy; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000139:chemically induced; D062787:Drug Overdose; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008774:Methylphenidate / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000139:chemically induced*; D019966:Substance-Related Disorders / Q000150:complications / Q000209:etiology; D055815:Young Adult
chemical_list: D000697:Central Nervous System Stimulants; D008774:Methylphenidate