[Anterior myocardial infarction in a chronic alcoholic man on disulfiram therapy: a case report].

Gaetano Nucifora, Matteo Cassin, Francesca Brun, Gian Luigi Nicolosi
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Abstract

Disulfiram is a drug used since 1940 in the treatment of alcohol dependence. However, it is not a completely safe drug; there are in the literature some case reports of more severe reaction than the usual "acetaldehyde syndrome" secondary to ingestion of disulfiram and alcohol. We describe a case of a 45-year-old, chronic alcoholic man in treatment with disulfiram, who suffered an acute anterior myocardial infarction, successfully treated with thrombolysis. The possible factors precipitating acute myocardial infarction in this patient are discussed.

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慢性酗酒者双硫仑治疗前心肌梗死1例
双硫仑是一种自1940年以来用于治疗酒精依赖的药物。然而,它并不是一种完全安全的药物;在文献中有一些病例报告比通常的继发于摄入双硫仑和酒精的“乙醛综合征”更严重的反应。我们描述了一个45岁,慢性酗酒的人在治疗双硫仑,谁遭受了急性前心肌梗死,成功地与溶栓治疗。讨论了引起该患者急性心肌梗死的可能因素。
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