Colombian Cardiology Magazine

www.elsevier.es/revcolcar

Heroin induced myocardial infarction

Adult Cardiology – Case Studies

Due to signs of opioid intoxication and imminence respiratory failure, airway support and naloxone treatment were initiated. During emergency care patient indicated localized precordial pain of moderate intensity, without dysautonomia or dyspnea. In light of the possibility of possibility acute coronary syndrome, troponin, -i, initial result was 0.48 ng / ml (reference value: 0-0.3 ng / ml). The initial electrocardiogram showed elevation ST elevation front anterolateral (fig. 2). The result of the echocardiogram ruled out abnormalities. Due the clinical and biochemical findings, infarction was diagnosed with acute ST elevation myocardial type 2, Killip- Kimball I, whereby intravenous vasodilator management connitroglicerina started at low doses, dual antiplatelet therapy (clopidogrel and aspirin) and full anticoagulation with heparin low molecular weight.