Myocardial infarction associated with pseudoephedrine use and acute streptococal infection in a boy with normal coronary arteries

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Biyik İ., Ergene O.

Canadian Journal of Cardiology, cilt.22, sa.3, ss.254-256, 2006 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Kısa Makale
  • Cilt numarası: 22 Sayı: 3
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1016/s0828-282x(06)70906-0
  • Dergi Adı: Canadian Journal of Cardiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.254-256
  • Anahtar Kelimeler: Acute myocardial infarction, Pseudoephedrine, Streptococcal infection
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Uşak Üniversitesi Adresli: Hayır

Özet

A 16-year-old boy presented to the emergency department with chest pain. He had no history of other health problems and did not smoke. Acute myocardial infarction (AMI) in an adolescent boy with normal coronary arteries, associated with pseudoephedrine use and acute streptococcal infection, is reported. The diagnosis of AMI was based on typical electrocardiographic signs, enzyme changes and echocardiographic evaluation. Coronary vasospasm associated with pseudoephedrine use, endothelial dysfunction and prothrombotic state caused by acute streptococcal infection may be the mechanisms responsible for AMI in this case. The possibility of AMI should be considered even in very young adolescents that have acute streptococcal pharyngeal infection, and it is important to obtain a complete history of the drugs used. ©2006 Pulsus Group Inc. All rights reserved.