Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Simultaneous Thrombosis of the Left Anterior Descending Artery and the Right Coronary Artery in a 34-Year-Old Crystal Methamphetamine Abuser

  • Khaheshi, Isa (Cardiovascular Research Center, Modarres Hospital, Cardiovascular Department, Shahid Beheshti University of Medical Sciences) ;
  • Mahjoob, Mohammad Parsa (Cardiovascular Research Center, Modarres Hospital, Cardiovascular Department, Shahid Beheshti University of Medical Sciences) ;
  • Esmaeeli, Shooka (Iranian Research Center for HIV/AIDS (IRCHA), Iranian Institute for Reduction of High-Risk Behaviors, Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences) ;
  • Eslami, Vahid (Cardiovascular Research Center, Modarres Hospital, Cardiovascular Department, Shahid Beheshti University of Medical Sciences) ;
  • Haybar, Habib (Cardiovascular Research Center, Cardiovascular Department, Ahvaz Jundishapur University of Medical Sciences)
  • Received : 2014.03.09
  • Accepted : 2014.07.29
  • Published : 2015.03.30
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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.

Keywords

References

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  1. Comparison of coronary risk factors and angiographic findings in younger and older patients with significant coronary artery disease vol.56, pp.2, 2018, https://doi.org/10.1515/rjim-2017-0048
  2. Wild at heart: 34-year-old male with new onset dyspnea, heart failure and history of amphetamine use; a case report vol.71, pp.1, 2019, https://doi.org/10.1186/s43044-019-0026-y