The agony after ecstasy: acute coronary syndrome

Emergency physicians at the Royal Perth Hospital managed three cases of delayed ACS within six months in 2010, two of them with ST segment elevation myocardial infarction (STEMI).

The study said that while ACS was recognised after cocaine and methamphetamine use, association with ecstasy had rarely been reported.

“We think about cocaine and methamphetamine use being associated with the emergence of cardiac symptoms in the first few hours. Our cases presented two to three days later,” lead author Dr Kerry Hoggett told MO.