Coronary artery rupture associated with amphetamine abuse.
Coronary artery rupture associated with amphetamine abuse.
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DOI：
10.1097/01.crd.0000132372.38506.45
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发表时间：
2004-09-01
影响因子：
2.1
通讯作者：
Elhendy, Abdou
中科院分区：
文献类型：
--
作者：
Brennan, Kathleen;Shurmur, Scott;Elhendy, Abdou
我们报告一位31岁女性因滥用安非他命而导致自发性冠状动脉破裂的病例。患者在急诊科就诊时突然出现中心胸痛，心电图正常。心肌酶与急性心肌梗死相一致。药物筛查显示苯丙胺呈阳性。冠状动脉造影术显示冠状动脉左回旋支近端99%闭塞，造影剂外溢。冠状动脉介入治疗采用支架置入术。血流顺行，无残余狭窄。这是第一例报告的与苯丙胺滥用有关的冠状动脉破裂病例。
We report a case of spontaneous coronary artery rupture associated with amphetamine abuse in a 31-year-old woman. The patient presented to the emergency department with sudden onset of central chest pain and a normal electrocardiogram. Cardiac enzymes were consistent with acute myocardial infarction. Drug screening was positive for amphetamines. Coronary angiography revealed an aneurysmal lesion with 99% occlusion of the proximal left circumflex coronary artery and extravasation of contrast material. Percutaneous coronary intervention was performed with stent placement. Antegrade flow was achieved without residual stenosis. This is the first reported case of coronary artery rupture related to amphetamine abuse.