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Acute myocardial infarction after heroin injections
Sung-Lin Yu1, Chun-Peng Liu, Yuk-Keung Lo
1Intensive Care Unit, Department of Internal Medicine, Kaohsiung Veterans General Hospital, National Yang-Ming University, School of Medicine, Taipei, Taiwan 813, ROC.
Abstract:
Information concerning acute myocardial infarctions (AMI) after heroin injection is limited. Only one report has described the association between heroin injections and AMI in a young woman. AMI after heroin injection in a patient with a normal coronary angiogram has not been reported. We report a 38-year-old man who developed AMI after heroin injection. He is probably the first case of AMI with normal coronary artery angiograms associated with heroin abuse. The heroin-induced toxic effect and/or coronary spasm are highly suspected to be the causes of the infarction episode.