Document Detail

Coronary artery spasm and myocardial infarction in a patient with normal coronary arteries: temporal relationship to pseudoephedrine ingestion.
MedLine Citation:
PMID:  2344609     Owner:  NLM     Status:  MEDLINE    
A 28 yr-old male presented with chest pain and acute ST elevation following ingestion of pseudoephedrine. The pain and electrocardiographic changes disappeared after the administration of sublingual Nitroglycerin. Myocardial enzymes did show some evidence for myocardial necrosis. A subsequent coronary arteriogram showed no occlusive lesions. Pseudoephedrine, a sympathomimetic agent, may be implicated in the initiation of coronary spasm and myocardial infarction in some patients.
I Wiener; A G Tilkian; M Palazzolo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  20     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-07-05     Completed Date:  1990-07-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-3     Citation Subset:  IM    
Division of Cardiology, UCLA School of Medicine.
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MeSH Terms
Coronary Angiography
Coronary Vasospasm / chemically induced*,  radiography
Coronary Vessels / drug effects*
Electrocardiography / drug effects
Ephedrine / administration & dosage,  adverse effects*
Myocardial Infarction / chemically induced*,  radiography
Rhinitis / drug therapy*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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