Ruwald Martin Huth, Ruwald Anne-Christine Huth, Tønder Niels
Kardiologisk Afdeling P, Gentofte Hospital, Niels Andersens Vej 65, 2900 Hellerup, Denmark.
Ugeskr Laeger. 2012 Mar 5;174(10):647-8.
Adult attention deficit and hyperkinetic disorder (ADHD) is increasingly diagnosed and treated with methylphenidate. We present the case of an 20 year-old man, who was diagnosed with ADHD and suffered a ST elevation acute myocardial infarction due to coronary vasospasm related to an overdose, and subsequent episodes of myocardial injury due to the use and misuse of methylphenidate over a period of two years. We recommend an increased attention to the subscription of methylphenidate to patients, who are at risk of misuse and patients, who have a cardiovascular history.
成人注意力缺陷多动障碍（ADHD）越来越多地使用哌醋甲酯进行诊断和治疗。我们报告了一名20岁男性的病例，他被诊断患有ADHD，因与用药过量相关的冠状动脉痉挛而发生ST段抬高型急性心肌梗死，并且在两年时间里因使用和滥用哌醋甲酯而出现心肌损伤的后续发作。我们建议对于有滥用风险的患者以及有心血管病史的患者，在开具哌醋甲酯处方时应更加谨慎。
