Author/Authors :
Michael Gharacholou, S. Division of Cardiology - Mayo Clinic, Rochester, MN, USA , Ijioma, Nkechinyere Division of Cardiology - Mayo Clinic, Rochester, MN, USA , Banwart, Emma Division of Cardiology - Mayo Clinic Health System-Franciscan Healthcare, La Crosse, WI, USA , Carpio Munoz, Freddy Del Division of Cardiology - Mayo Clinic Health System-Franciscan Healthcare, La Crosse, WI, USA
Abstract :
The use of energy drinks, which often contain stimulants, is common among young persons, yet there have been few reports of
adverse cardiac events. We report the case of a 27-year-old man who was admitted to our facility with an acute ST-segment elevation
myocardial infarction in the setting of using energy drinks. Angiography revealed no obstructive coronary disease. The patient had
elevation of cardiac troponin. Noninvasive testing with echocardiography and cardiac magnetic resonance imaging demonstrated
both abnormalities in resting wall motion at the anterior apex along with late gadolinium enhancement of the anterior wall,
respectively. The patient also underwent formal invasive evaluation with an intracoronary Doppler study demonstrating normal
coronary flow reserve and acetylcholine provocation that excluded endothelial dysfunction and microvascular disease. The patient
recovered and has abstained from consuming additional energy drinks with no reoccurrence of symptoms. A review of some of the
potential cardiac risks associated with consuming energy drinks is presented.