Journal
CARDIOVASCULAR PATHOLOGY
Volume 17, Issue 5, Pages 344-346Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.carpath.2007.05.005
Keywords
coronary thrombosis; illicit drugs; toxicology
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The case of a 31-year-old man who died suddenly, with a history of drug abuse and no risk factors for coronary artery disease, is herein reported. Postmortem examination disclosed critical stenosis due to a fibrocellular atherosclerotic plaque complicated by occlusive thrombosis at the level of the left anterior descending coronary artery. Chemico-toxicological analysis revealed high levels of cocaine, tetrahydrocannabinol, and metabolites. When dealing with an acute coronary syndrome in young people, with or without a history of drug abuse, toxicological examination should always be performed to rule Out unnatural causes of myocardial ischemia. (C) 2008 Published by Elsevier Inc.
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