Drug-Induced Myocardial Infarction Secondary to Coronary Artery Spasm in Teenagers and Young Adults

摘要: There is no published registry for drug-induced acute myocardial infarction (AMI) with subsequent patent coronary angiogram in teenagers. To highlight the mechanism and impact of MI arteries among teenagers who have relatively few risk factors comparison older patients, we conducted a review literature. In this most pertinent (English non-English) articles through Medline, Scopus, Cochrane Database Systematic Reviews, EBSCO Host research databases from 1970 to 2005 been revised. Teenagers young adults AMI were included. those cases spasm was highlighted. Among 220 (>12000 cases) related normal angiogram, 50 (~100 reported role drug secondary artery (CAS). well-conducted trial CAS but only series case reports, diagnosis based on clinical laboratory findings without provocation. associated 12 illicit substances (i.e., cocaine, marijuana, alcohol, butane, amphetamine). Smoking not initiative also might harbor other that increase CAS. Cocaine-associated frequent various papers. 19 types medications over-the-counter, chemotherapy, antimigraine, antibiotics) strong relation age. Despite being common event, attention smoking drugs will major therapeutic prognostic implications.