PMID- 27122938
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160428
LR  - 20200930
IS  - 1011-6842 (Print)
IS  - 1011-6842 (Linking)
VI  - 32
IP  - 1
DP  - 2016 Jan
TI  - Areca Nut Chewing Complicated with Non-Obstructive and Obstructive ST Elevation 
      Myocardial Infarction.
PG  - 103-7
AB  - Areca nut chewing is one of the most prevalent substance abuse habits in the 
      world, and it is associated with the risk of a variety of medical challenges 
      including hypertension, arrhythmia, and coronary artery disease (CAD). However, 
      ST elevation myocardial infarction (STEMI) is an extremely rare complication of 
      areca nut chewing. Herein we report two cases where patients suffered from STEMI 
      after areca nut chewing. The first case involved a patient with non-obstructive 
      CAD and non-sustained ventricular tachycardia during hospitalization. The second 
      case revealed left circumflex artery total occlusion, and primary percutaneous 
      coronary intervention was performed. Initially, the levels of arecoline and 
      arecaidine plasma were checked in these two cases after admission. Although both 
      cases revealed increased levels, the second case showed substantially higher 
      values than the first case. In general, these two cases remind physicians that 
      areca nut chewing may cause myocardial injury with different severity, although 
      STEMI with true coronary obstruction remains an extremely rare but possible 
      complication after areca nut chewing. KEY WORDS: Areca nut chewing; Coronary 
      obstruction; ST elevation myocardial infarction.
FAU - Chen, Ying-Chih
AU  - Chen YC
AD  - Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung Medical University;
FAU - Lee, Hsiang-Chun
AU  - Lee HC
AD  - Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung Medical University; ; Department of Internal 
      Medicine, Faculty of Medicine;
FAU - Lee, Hei-Hwa
AU  - Lee HH
AD  - Department of Laboratory Medicine, Kaohsiung Medical University Hospital, 
      Kaohsiung Medical University, Kaohsiung, Taiwan.
FAU - Su, Ho-Ming
AU  - Su HM
AD  - Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung Medical University; ; Department of Internal 
      Medicine, Faculty of Medicine;
FAU - Lin, Tsung-Hsien
AU  - Lin TH
AD  - Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung Medical University; ; Department of Internal 
      Medicine, Faculty of Medicine;
FAU - Hsu, Po-Chao
AU  - Hsu PC
AD  - Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung Medical University; ; Department of Internal 
      Medicine, Faculty of Medicine; ; Graduate Institute of Medicine, School of 
      Medicine, Kaohsiung Medical University;
LA  - eng
PT  - Case Reports
PL  - China (Republic : 1949- )
TA  - Acta Cardiol Sin
JT  - Acta Cardiologica Sinica
JID - 101687085
PMC - PMC4804948
EDAT- 2016/04/29 06:00
MHDA- 2016/04/29 06:01
PMCR- 2016/01/01
CRDT- 2016/04/29 06:00
PHST- 2016/04/29 06:00 [entrez]
PHST- 2016/04/29 06:00 [pubmed]
PHST- 2016/04/29 06:01 [medline]
PHST- 2016/01/01 00:00 [pmc-release]
AID - 10.6515/acs20141225a [doi]
PST - ppublish
SO  - Acta Cardiol Sin. 2016 Jan;32(1):103-7. doi: 10.6515/acs20141225a.