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6. [Methylphenidate induced ST elevation acute myocardial infarction].

Author

Ruwald MH, Ruwald AC, and Tønder N

Subjects
Attention Deficit Disorder with Hyperactivity complications, Attention Deficit Disorder with Hyperactivity drug therapy, Coronary Vasospasm chemically induced, Drug Overdose, Electrocardiography, Humans, Male, Substance-Related Disorders complications, Substance-Related Disorders etiology, Young Adult, Central Nervous System Stimulants adverse effects, Methylphenidate adverse effects, Myocardial Infarction chemically induced
Abstract

Adult attention deficit and hyperkinetic disorder (ADHD) is increasingly diagnosed and treated with methylphenidate. We present the case of an 20 year-old man, who was diagnosed with ADHD and suffered a ST elevation acute myocardial infarction due to coronary vasospasm related to an overdose, and subsequent episodes of myocardial injury due to the use and misuse of methylphenidate over a period of two years. We recommend an increased attention to the subscription of methylphenidate to patients, who are at risk of misuse and patients, who have a cardiovascular history.

Published
2012

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