title: Acute myocardial infarction following ingestion of a non-selective non-steroidal anti-inflammatory drug.
abstract: While selective non-steroidal anti-inflammatory drugs, namely cyclo-oxygenase-2 (COX 2) inhibitors, are known to be associated with acute myocardial infarction, little is known about the cardiovascular safety of the non-selective non-steroidal anti-inflammatory drugs. We report the case of a 44-year-old man who developed anaphylactic reaction and acute inferior myocardial infarction following ingestion of a non-selective anti-inflammatory drug, diclofenac sodium. Coronary angiography revealed a large thrombus in the right coronary artery which was partially removed by intracoronary catheter aspiration. Complete resolution of the remaining thrombus was achieved after treatment with an oral anticoagulant.
authors.affiliation: National University of Malaysia, Department of Medicine, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.
authors.forename: Masliza
authors.initials: M
authors.lastname: Mahmod
authors.forename: Ika Faizura Mohd
authors.initials: IF
authors.lastname: Nor
authors.forename: Oteh
authors.initials: O
authors.lastname: Maskon