Acute myocardial infarction associated with cocain use in young patient

Abstract

ABSTRACT Background: Acute myocardial infarction may occur following cocaine abuse. Cocaine-induced infarction is particularly common in younger patients aged 18 to 45 years old. Patients may or may not have evidence of coronary artery disease at the time of symptom presentation. We report the case of a 17 - year - old male patient who had an acute myocardial infarction after cocaine abuse and had underwent emergency coronary intervention. Our case highlights important treatment taken in dealing with this acute scenario. Case report: Male, 17 years old, history of cocain use in 2 days, smoking 1 pack.year, no history of disease or appearance of symptoms related to cardiovascular before. The patient was admitted to the hospital in the context of intermittent shortness of breath with constant pain in the chest behind the sternum. Laboratory tests aim to diagnose acute myocardial infarction. The patient underwent emergency coronary angiography and intervention with 2 stents in the left anterior descending artery and the right coronary artery. After coronary intervention, the patient is awake, no chest pain, and vital signs are stable. Conclusion: Acute myocardial infarction is rare, but is a serious consequence of cocain use. Clinicians should consider interrogating all young patients presented to the emergency department with acute chest pain for cocaine abuse. Also, appropriate addiction management in this patient population is considered important secondary prevention strategy that helps reduce the risk of future cardiovascular events.