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[Myocardial infarction caused by cold beverage drinking after strenuous physical exercise]
D E García Rubí1, C Kúsulas Cerón, A M Santiago Quintos
1Servicio de Cardiología, Hospital de Especialidades Bernardo Sepúlveda, CMN, Siglo XXI IMSS.
Insights
A young male experienced acute myocardial infarction after consuming a cold drink post-exercise, a rare case linked to coronary spasm and atherosclerosis. This highlights potential triggers for heart attacks in individuals with risk factors.
Area of Science:
- Cardiology
- Internal Medicine
Context:
- Acute myocardial infarction (AMI) in young adults is uncommon.
- Male sex is a significant coronary risk factor.
- Lifestyle factors like strenuous exercise and cold beverage ingestion may precipitate cardiac events.
Purpose:
- To present a case of AMI in a 36-year-old male.
- To explore the potential role of coronary spasm and atherosclerosis in this event.
- To review the literature on similar cases.
Summary:
- A 36-year-old male presented with acute myocardial infarction.
- The patient's only major coronary risk factor was male sex.
- The infarction occurred after strenuous physical exercise followed by cold beverage ingestion.
- Coronary angiography revealed mild obstruction in the Left Anterior Descending (LAD) artery.
- The likely causes identified were coronary spasm and atherosclerosis.
Impact:
- This case underscores the importance of considering coronary spasm and atherosclerosis in young individuals presenting with myocardial infarction.
- It highlights the potential impact of environmental and lifestyle factors on triggering cardiac events.
- The findings contribute to understanding the multifactorial etiology of premature coronary artery disease.
Abstract:
A case of acute myocardial infarction in a 36 years old patient is presented. Maleness was male, as the only mayor coronary risk factor. He had myocardial infarction associated with ingestion of cold beverage after strenuous physical exercise. A coronariographic study was done postmyocardial infarction, which showed a mild obstruction of the LAD. The most likely cause of the coronary event in this case is coronary spasm and atherosclerosis. A review of the literature on this subject is made.