Angiology

 

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First published on April 2, 2008
Angiology 2008, doi:10.1177/0003319707310280
© 2008 SAGE Publications

Article

Ephedrine-Induced Acute Myocardial Infarction in a Young Athlete: A Case of Thrombus Management

Igor Kranjec*, Andreja Cerne, and Marko Noc

* To whom correspondence should be addressed. E-mail: igor.kranjec{at}kclj.si.


   Abstract
A case of acute myocardial infarction in a young athlete provoked by ephedrine abuse has been described in this study. An intracoronary thrombus found in the left anterior descending coronary artery at urgent angiography was successfully removed using the Pronto (Vascular Solutions, Minneapolis, Minnesota) aspiration catheter. The intravascular ultrasound examination performed thereafter showed a nonobstructive atherosclerotic plaque in the culprit artery; there was no evidence whatsoever of possible plaque disruption. The result of percutaneous coronary intervention was satisfactory, and no stent implantation was needed. The patient experienced no adverse events until his outpatient visit 3 months later.


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