Abstract

PEREZ DIAZ, Pedro et al. Myocardial infarction after intra-gingival administration of adrenaline. A new cause of myocardial infarction without obstructive coronary atherosclerosis?. Rev. Colomb. Cardiol. [online]. 2020, vol.27, n.5, pp.477-480.  Epub July 28, 2021. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2019.12.013.

There is a relationship between adrenaline administered intramuscularly and the development of ischaemic heart disease. Adrenaline promotes primary and secondary haemostasis, which can produce a coronary thrombosis and cause a transient arteriolar vasoconstriction. A case is presented of a patient who was seen in the Emergency Department with chest pain a few hours after dental treatment. In the subsequent work-up, it was discovered that she had a myocardial infarction due to a coronary thrombosis of the left anterior distal artery.

Keywords : Ischaemic heart disease; Myocardial infarction; Thrombosis.

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