@article{ref1,
title="The case of myocardial infarction in a fifteen-year-old adolescent caused by toxic substances",
journal="Cardiovascular toxicology",
year="2020",
author="Loskutov, O. and Markov, Yu and Todurov, B. and Druzhyna, O. and Kolesnykov, V. and Maruniak, S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The article reveals about the clinical accident of myocardial infarction in an adolescent after visiting a night club, where he had been drinking tequila. A &quot;sniper&quot; test was performed at home and showed synthetic marihuana in urine. The uniqueness of this case is the adolescent's difficult premorbid condition (severe diabetes mellitus type 1 and sub-compensated hypothyreosis) and the clinical course of the disease had caused difficulty in diagnosis which led to a belated hospitalization on the third day. Considering pain syndrome, infarction-like findings in ECG (ST elevation), high levels of cardiospecific enzymes (troponin elevated 70 times, aspartate aminotransferase-two times, creatine phosphokinase-4 times, lactate dehydrogenase and alkaline phosphatase-two times) and their slow tendency to normalize-a non-Q myocardial infarction diagnosis was performed. After complex treatment, the general condition of the patient improved; he was discharged from the clinic in satisfactory general condition and was given recommendations for further rehabilitation. Given the potential for premature death and long-term disability with the development of negative individual and social consequences, the correct diagnostic assessment in such cases becomes particularly relevant.<p /> <p>Language: en</p>",
language="en",
issn="1530-7905",
doi="10.1007/s12012-020-09575-5",
url="http://dx.doi.org/10.1007/s12012-020-09575-5"
}