Drug abuse and myocardial infarction

Abstract

Amongst the illicit drugs, heroin, cocaine and cannabis have been studied and documented well to cause sudden death by different mechanisms. Cocaine-related myocardial infarction is a well-known phenomenon. Heroin-induced myocardial infarction has seldom beenreported. In this article we presented a case of drug abuse such as heroin, cocaine, bonsai and arrest after heroin injection with literature. A 28-year-old young male was brought to the emergency with sudden cardiac arrest after eroin injection intravenously. Myocardial infarction with left ventricular failure was diagnosed. Coronary angiography showed 100% occlusion of left ascending coronary artery. On day 7, cardiac arrest was occured after recurrent attacks of ventricular fibrillation and ressussitation was unsuccessful.