Recurrent myocardial infarction associated with cocaine abuse in a young man with normal coronary arteries: evidence for coronary artery spasm culminating in thrombosis.
Recurrent myocardial infarction associated with cocaine abuse in a young man with normal coronary arteries: evidence for coronary artery spasm culminating in thrombosis.
复制标题
冠状动脉正常的年轻人与可卡因滥用相关的复发性心肌梗死：冠状动脉痉挛最终导致血栓形成的证据。
DOI：
10.1016/s0735-1097(87)80256-5
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发表时间：
1987
影响因子：
24
通讯作者：
H. Kemp
中科院分区：
文献类型：
--
作者：
F. Zimmerman;G. Gustafson;H. Kemp
在有和无冠状动脉粥样硬化的患者中，有报告称可卡因滥用（1-9）会导致心肌梗死。然而，在这种情况下心肌梗死的潜在机制仍然不清楚。本报告描述了一个年轻男子患有复发性心肌梗死与可卡因滥用，尽管存在血管造影正常的冠状动脉。证据支持冠状动脉痉挛最终导致冠状动脉血栓形成，这是可能的机制。
Myocardial infarction has been reported as a consequence of cocaine abuse (1-9) in patients with and without coronary atherosclerosis. However, the underlying mechanism for myocardial infarction in this setting remains obscure. This report describes a young man suffering from recurrent myocardial infarction associated with cocaine abuse, despite the presence of angiographically normal coronary arteries. Evidence supports coronary artery spasm culminating in coronary thrombosis, as the probable mechanism.