Source: Revista Colombiana de Cardiología
Published by: Elsevier Espana, S.L.U

Heroin-induced Acute Myocardial Infarction
By: Beatriz Willis, Andres F. Buitrago, Nohra P. Romero and Mariana Soto

Received September 17, 2013, accepted March 10, 2014
Available on the Internet September 24, 2014

Due to the signs of opioid overdose and impending respiratory failure, airway support and naloxone were administered. During emergency care, the patient indicated localized precordial pain of moderate intensity related to shortness of breath.   Faced with the possibility of acute coronary syndrome, a troponin i test was requested and resulted in 0.48 ng/ml levels (benchmark: 0-0.3 ng/ml).   The initial electrocardiogram showed the ST segment upsloping in the leads (fig. 2). The results of the echocardiogram ruled out any abnormalities.
Given the clinical and biochemical signs, Acute myocardial infarction was diagnosed with ST elevation Type 2, Killip class I, for which vasodilatation  treatment and intravenous. Dual antiplatelet therapy (clopidogrel plus aspirin).  Anticoagulant therapy with low molecular weight heparin