This case highlights the potential for dexamethasone to induce STEMI, emphasizing the need for cautious use of steroids.
Warrants caution with dexamethasone near recent angiography; single case leaves causal link unproven and hypothesis-generating.
Drug induced myocardial infarction is a known entity with different forms of steroids linked to coronary artery disease (CAD) either through promoting its traditional risk factors, inducing coronary spasm, or by other unidentified mechanisms. Dexamethasone is known to promote an atherogenic and hypercoagulable state. We report a case of a 75-year-old woman who had ST elevation myocardial infarction (STEMI) associated with dexamethasone use just 4 days following an angiogram showing minor luminal irregularities.
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Shokr et al. (2016) studied this question.
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