Simultaneous Thrombosis of the Left Anterior Descending Artery and the Right Coronary Artery in a 34-Year-Old Crystal Methamphetamine Abuser.
10.4070/kcj.2015.45.2.158
- Author:
Isa KHAHESHI
1
;
Mohammad Parsa MAHJOOB
;
Shooka ESMAEELI
;
Vahid ESLAMI
;
Habib HAYBAR
Author Information
1. Cardiovascular Research Center, Modarres Hospital, Cardiovascular Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. parsa3903@yahoo.com
- Publication Type:Case Report
- Keywords:
Methamphetamine;
Coronary thrombosis;
Angiography
- MeSH:
Adult*;
Angiography;
Anticoagulants;
Arteries*;
Aspirin;
Chest Pain;
Coronary Angiography;
Coronary Thrombosis;
Coronary Vessels*;
Electrocardiography;
Humans;
Methamphetamine*;
Myocardial Infarction;
Platelet Aggregation Inhibitors;
Sweat;
Thrombosis*;
Warfarin
- From:Korean Circulation Journal
2015;45(2):158-160
- CountryRepublic of Korea
- Language:English
-
Abstract:
This case report underscores that crystal methamphetamine abuse is an important cause of multivessel coronary thrombosis and raises doubts about the therapeutic options. The patient was a 34-year-old smoker and crystal methamphetamine abuser with no significant medical history, who presented with retrosternal chest pain associated with cold sweats. Twelve-lead electrocardiogram revealed diffuse ST-segment elevation in I, II, AVL, AVF, and V 2-6 leads. He underwent urgent coronary angiography and it showed Thrombolysis in Myocardial Infarction (TIMI) grade 3 flow in coronary arteries and presence of a thrombus in the left anterior descending artery (LAD) and the right coronary artery (RCA). The patient underwent medical therapy with antiplatelet agents and anticoagulants. Repeat coronary angiography after three months of dual therapy with warfarin and aspirin did not show any thrombus or any significant lesion in the RCA and the LAD having TIMI grade 3 flow.
