Heroin-induced myocardial infarction

Beatriz Wills, Andres F. Buitrago, Nohra P. Romero y Mariana Soto

^aDepartment of critical medicine and intensive care, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia

^bDepartment of internal medicine, section of Cardiology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia

Received September 17, 2013; accepted March 10, 2014.

Available online on September 24, 2014

Due to the signs of opined intoxication and imminence of respiratory failure airway support and naloxone treatment were initiated. During emergency care, the patient indicated localized precordial pain. Faced with the possibility of acute coronary syndrome, it requested triennial whose initial result was 0,48ng / mL (reference value: 0-0.3 ng / ml). The initial electrocardiogram showed ST segment elevation in the anterolateral. The result of echocardiography rule out abnormalities. I give the clinical and biochemical findings, acute myocardial infarction was diagnosed with ST elevation type 2, Killip-Kimball, whereby management with intravenous vasodilator nitro glycerin start at low doses, full anti-coagulation with low molecular weight heparin.