Related Experiment Video
Updated: Mar 20, 2026

Measurement of Myocardial Lactate Production for Diagnosis of Coronary Microvascular Spasm
Published on: September 17, 2021
Coronary artery spasm after ingestion of Imodium (loperamide) in a 14-year-old boy
1Department of Paediatric Cardiology, The Children's Hospital and Institute of Child Health, Lahore, Pakistan.
Abstract:
We report a 14-year-old boy who presented with acute chest pain, following the ingestion of loperamide for acute diarrhea. Twelve lead electrocardiogram (ECG) showed evidence of acute ischemia indicating acute coronary artery spasm. The changes reverted with treatment within a few hours with no permanent effect on myocardial function. This report highlights a rare side effect of loperamide, often debated in adults and never reported in adolescents.
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