Coronary artery spasm and Myocardial infarction in a patient with normal Coronary arteries: Temporal relationship to pseudoephedrine ingestion
- 1 May 1990
- journal article
- case report
- Published by Wiley in Catheterization and Cardiovascular Diagnosis
- Vol. 20 (1), 51-53
- https://doi.org/10.1002/ccd.1810200113
Abstract
A 28 yr‐old male presented with chest pain and acute ST elevation following ingestion of pseudoephedrine. The pain and electrocardiographic changes disappeared after the administration of sublingual Nitroglycerin. Myocardial enzymes did show some evidence for myocardial necrosis. A subsequent coronary arteriogram showed no occlusive lesions. Pseudoephedrine, a sympathomimetic agent, may be implicated in the initiation of coronary spasm and myocardial infarction in some patients.Keywords
This publication has 5 references indexed in Scilit:
- Acute Cardiac Events Temporally Related to Cocaine AbuseNew England Journal of Medicine, 1986
- Angina associated with pseudoephedrineAnnals of Emergency Medicine, 1981
- Arteriographic evidence of coronary arterial spasm in acute myocardial infarction.Circulation, 1977
- Prinzmetal's variant form of angina as a manifestation of alpha-adrenergic receptor-mediated coronary artery spasm: Documentation by coronary arteriographyAmerican Heart Journal, 1976
- Role of Autonomic Nervous System in the Pathogenesis of Prinzmetal's Variant Form of AnginaCirculation, 1974