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

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.

Sudden Death After Myocardial Infarction in a High‐School Athlete

“…Another case of acute myocardial infarction in a young athlete, which was also provoked by ephedrine abuse, has been described by Kranjec et al. (3). Agirbasli et al.…”

“…Myocardial infarction as a cause of sudden death in young athletes and high‐school children is rare but does occur. Recently, cocaine, ephedrine, and anabolic‐androgenic steroids were correlated with ischemic heart disease in healthy, physically active young individuals, to promote athletic performance (2,3,5). Forte et al.…”

“…Myocardial infarction as a cause of sudden death in young athletes and high-school children is rare but does occur. Recently, cocaine, ephedrine, and anabolic-androgenic steroids were correlated with ischemic heart disease in healthy, physically active young individuals, to promote athletic performance (2,3,5). Forte et al reported the case of a young athlete with no risk factors for cardiovascular disease who experienced a myocardial infarction during the period in which he used an ephedrine-rich dietary supplement (2).…”

Necrosis miocárdica y disfunción biventricular severa en el contexto de abuso crónico de efedrina

“…El mecanismo del daño miocárdico causado por la sobredosis de efedrina es probablemente similar al de la cocaína, produciendo vasoconstricción coronaria difusa, disminución de la perfusión miocárdica, aumento del gasto cardiaco e infarto de miocardio [4][5][6] .…”

“…Kranjec et al 5 informaron de un infarto de miocardio en un atleta joven tras el consumo de efedrina, evidenciándose una lesión coronaria no significativa trombótica sin datos de rotura de placa. Cockings et al 6 , sin embargo, evidenciaron disfunción ventricular izquierda severa, en el contexto de daño miocárdico difuso, en un paciente que ingresó por clí-nica de edema agudo de pulmón tras el consumo intravenoso de efedrina.…”