title: Acute Myocardial Infarction following Naltrexone Consumption; a Case Report.
abstract: Cardiovascular effects of opioid withdrawal have long been studied. It was reported that patients with underlying ischemic heart disease and atherosclerotic vessels may be complicated by a sudden physical and emotional stress due to withdrawal syndrome. But some other believes sudden increase in catecholamine level as a sympathetic overflow might effect on heart with and without underlying ischemia. In the current study, a patient on methadone maintenance therapy (MMT) who experienced myocardial infarction (MI) after taking naltrexone was described.
authors.affiliation: Addiction Research Centre, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.; Cardiac Anesthesia Research Centre, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Bita
authors.initials: B
authors.lastname: Dadpour
authors.affiliation: Atherosclerosis Prevention Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Arash
authors.initials: A
authors.lastname: Gholoobi
authors.affiliation: Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Shahrad
authors.initials: S
authors.lastname: Tajoddini
authors.affiliation: Addiction Research Centre, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Amir
authors.initials: A
authors.lastname: Habibi
keywords: Naltrexone; myocardial infarction; narcotic antagonists; substance withdrawal syndrome