Acute myocardial infarction with normal coronary arteries in a young heroin user: A case report

Summary Substance abuse with cocaine or heroin are associated with multiple cardiovascular complications including acute myocardial infarction (AMI), left ventricular hypertrophy, fatal arrhythmias, sudden cardiac death and cardiomyopathy. We describe a case of AMI with normal coronary arteries in a 23- year old young man who collapsed within few minutes of sniffing heroin. He was documented to have ventricular tachycardia (VT) during admission which was converted to sinus rhythm after cardioversion. Subsequently he was found to have an acute anterior myocardial infarction with significant left ventricular dysfunction. Coronary angiography conducted later on was found to be normal.