Ecstasy‐induced acute coronary syndrome: Something to rave about

Abstract

Ecstasy or 3,4-methylenedioxymethamphetamine is a commonly used illicit recreational drug, enjoying popularity for its stimulant effects. Although acute coronary syndrome is recognized after cocaine and methamphetamine use, association with Ecstasy use has rarely been reported. We report three cases of significantly delayed acute coronary syndrome and ST elevation myocardial infarction related to ingestion of Ecstasy.

Recreational drug use among young, hospitalized patients with acute coronary syndrome: A retrospective study

“…Since sympathomimetic activation, coronary vasospasm and prothrombotic effects are also caused by RD other than cocaine, it is expected that these other RD will increase the risk of ACS in a similar way. Several studies have described cannabis, cathinones, amphetamine, methamphetamine and 3,4-methylenedioxymethamphetamine in relation to ACS [4] , [8] , [13] , [14] , [15] , [16] , [17] , [18] . However, the prevalence of RD-associated ACS is unknown.…”