| Abstract: | We present a case of sudden cardiac death (SCD) due to accelerated atheroma in a young man. Histological specimens revealed chronic myocardial ischaemia with severe calcification. The causes of myocardial calcification are reviewed and we summarise the key learning points relating to cocaine use and heart disease. Trainees should appreciate that in cases of accelerated coronary atheroma there may be multiple risk factors involved and that family history of myocardial ischaemia is often a key contributor. |
