Acute myocardial infarction with e‐cigarette or vaping‐use associated lung injury in a young Filipino vape user

Author:

Fernandez Margarita Isabel C.1ORCID,Co Margaret Francine1,Rafael Janine Bianca Marie1,Mag‐usara Regiel Christian1ORCID,Ediza Vanessa1,Gavino Rafael Luis1,Feliciano Jan Christian1,Santos Nigel Jeronimo1ORCID,Yano Mark Andrian1,Huibonhoa Julian Alexander1,Tiongco Richard Henry1,Fernandez Lenora1

Affiliation:

1. Department of Medicine Philippine General Hospital Manila City Philippines

Abstract

AbstractElectronic cigarettes (or e‐cigarettes) and vape products have multisystemic adverse effects despite being advertised as a safer smoking alternative and cessation device. We present a 22‐year‐old Filipino male with sudden chest pain. He had no known comorbidities but had a two‐year history of daily vape use. Work‐up revealed elevated cardiac markers, anteroseptal ST‐elevation myocardial infarction, hypokinesia of the anterior wall and interventricular septum, and an ejection fraction of 30%. Chest radiography showed consolidation pneumonia but culture studies and Biofire Pneumonia Panel were negative for microbial detection. Coronary angiography revealed chronic total obstruction of the mid‐left anterior descending (LAD) and right coronary arteries (RCA). Percutaneous coronary angioplasty of the LAD was done. The patient eventually required mechanical ventilation for progressive respiratory distress but expired after three hospital days despite medical management. This case highlights a possible association between vape use and the development of both acute lung injury and myocardial infarction.

Publisher

Wiley

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