title: Amphetamine Abuse Related Acute Myocardial Infarction.
abstract: Amphetamine abuse is a global problem. The cardiotoxic manifestations like acute myocardial infarction (AMI), heart failure, or arrhythmia related to misuse of amphetamine and its synthetic derivatives have been documented but are rather rare. Amphetamine-related AMI is even rarer. We report two cases of men who came to emergency department (ED) with chest pain, palpitation, or seizure and were subsequently found to have myocardial infarction associated with the use of amphetamines. It is crucial that, with increase in amphetamine abuse, clinicians are aware of this potentially dire complication. Patients with low to intermediate risk for coronary artery disease with atypical presentation may benefit from obtaining detailed substance abuse history and urine drug screen if deemed necessary.
authors.affiliation: Division of Cardiology, Saint Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.
authors.forename: Archana
authors.identifier: 0000-0001-9404-1679
authors.initials: A
authors.lastname: Sinha
authors.affiliation: Division of Pulmonary Medicine, Howard University Hospital, 2041 Georgia Avenue, Washington, DC 20060, USA.
authors.forename: O'Dene
authors.initials: O
authors.lastname: Lewis
authors.affiliation: Division of Cardiology, Saint Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.
authors.forename: Rajan
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Division of Hematology-Oncology, Howard University Hospital, 2041 Georgia Avenue, Washington, DC 20060, USA.
authors.forename: Sri Lakshmi Hyndavi
authors.initials: SL
authors.lastname: Yeruva
authors.affiliation: Division of Cardiology, Howard University Hospital, 2041 Georgia Avenue, Washington, DC 20060, USA.
authors.forename: Bryan H
authors.initials: BH
authors.lastname: Curry