Acute myocardial infarction associated with thinner abuse: Case report and literature review

Figures & data

Fig. 1. Electrocardiogram (ECG) showing sinus tachycardia with poor R-wave progression in precordial leads.

Fig. 2. (A and B) Selective left coronary angiogram showing severe thrombotic stenosis at the proximal portion of the left anterior descending artery (yellow arrows). (C and D) Selective left coronary angiogram obtained 3 days after intravenous Tirofiban infusion showing patent left anterior descending artery without residual stenosis.

Table 1. Case reports of acute myocardial infarction associated with thinner abuse.

References	Age/Sex	Clinical features	ECG features	Coronary angiogram
Vural et al. (2003)^Citation5	46 years old, M	Chest pain	ST segment elevation in leads DII, DIII, aVF	Unperformed
Carder and Fuerst (1997)^Citation6	22 years old, M	Shortness of breath, chest tightness	ST segment elevation in leads DI, aVL, V5–V6	Normal coronary arteries
Hussain et al. (1996)^Citation7	55 years old, M	Chest pain	Pseudonormalization of T waves	Normal coronary arteries
Cunningham et al. (1987)^Citation8	16 years old, M	Cardiopulmonary arrest	ST segment elevation in leads V2–V6	Unperformed

M, male; ECG, electrocardiogram.

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Carder JR, Fuerst RS. Myocardial infarction after toluene inhalation. Pediatr Emerg Care 1997; 13:117–119.

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