Citation

Meier M. Z. Kardiol. 2002; 91(2): 178-181.

Vernacular Title

Akuter Myokardinfarkt im Rahmen eines Suizidversuches mit Insulin.

Affiliation

Innere Abteilung St. Marien Hospital Borken GmbH Am Boltenhof 7 46325 Borken, Germany.

Copyright

(Copyright © 2002, Steinkopff)

DOI

unavailable

PMID

11963736

Abstract

We report the case of a 31 year old healthy man without coronary risk factors, who made a suicide attempt with insulin caused by a chronic schizoid psychosis. The man was admitted to the hospital 14 hours later with non-specific chest pain and dizziness as clinical signs of a lateral wall myocardial infarction. The coronary angiography demonstrated intact coronary circulation and a broad area of myocardial damage of the left ventricular lateral wall. It is hypothesized that coronary artery vasospasm induced by hypoglycemia/hyperinsulinemia caused the myocardial infarction.

Language: de