Binge Drinking Precipitating Multivessel STEMI With Cardiogenic Shock in a Young Adult: A Case Report

Highlights:* The case highlights binge drinking as the most likely significant contributing factor, making it necessary to look into non-traditional risk factors in young MI patients.* It has been suggested that binge drinking causes coronary vasospasm and a pro-thrombotic condition, which can lead to STEMI.* The case validates the direct cardiotoxic effect of alcohol consumption patterns by demonstrating that a severe clinical presentation, including cardiogenic shock, can develop even in the absence of considerable plaque burden or pre-existing coronary artery disease.* The results highlight how important it is to get a thorough history of alcohol use from all young patients who arrive with acute myocardial infarction (MI) in order to make an accurate diagnosis and develop successful secondary preventive measures.* Percutaneous coronary intervention (PCI) and intensive care support, including mechanical ventilation and noradrenaline for shock, were successful in treating a 35-year-old male patient with severe inferior wall STEMI complicated by cardiogenic shock who had no conventional cardiovascular risk factor.