Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication

<p dir="ltr">Clomiphene citrate is commonly prescribed to treat male hypogonadism due to its ability to increase endogenous testosterone levels while preserving fertility. Although it is generally considered safe, and rare serious cardiovascular events have been reported. We present...

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Main Author: Zubair Shahid (16441927) (author)
Other Authors: Gi Eun Kim (18185908) (author), Tariq Mousa (22504286) (author), Ziad AlSehli (22504289) (author), Awad Al-Qahtani (315456) (author)
Published: 2025
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author Zubair Shahid (16441927)
author2 Gi Eun Kim (18185908)
Tariq Mousa (22504286)
Ziad AlSehli (22504289)
Awad Al-Qahtani (315456)
author2_role author
author
author
author
author_facet Zubair Shahid (16441927)
Gi Eun Kim (18185908)
Tariq Mousa (22504286)
Ziad AlSehli (22504289)
Awad Al-Qahtani (315456)
author_role author
dc.creator.none.fl_str_mv Zubair Shahid (16441927)
Gi Eun Kim (18185908)
Tariq Mousa (22504286)
Ziad AlSehli (22504289)
Awad Al-Qahtani (315456)
dc.date.none.fl_str_mv 2025-07-09T03:00:00Z
dc.identifier.none.fl_str_mv 10.1177/00368504251349392
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Clomiphene-induced_myocardial_infarction_in_a_young_male_A_case_report_of_a_rare_cardiovascular_complication/30455930
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Pharmacology and pharmaceutical sciences
Reproductive medicine
Clomiphene citrate
male hypogonadism
myocardial infarction
drug-induced thrombosis
thromboembolism
dc.title.none.fl_str_mv Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Clomiphene citrate is commonly prescribed to treat male hypogonadism due to its ability to increase endogenous testosterone levels while preserving fertility. Although it is generally considered safe, and rare serious cardiovascular events have been reported. We present the case of a male in his early 30s with no known cardiovascular risk factors who developed an acute inferior-posterior ST-elevation myocardial infarction while taking clomiphene for infertility. Coronary angiography revealed complete occlusion of the distal right coronary artery due to a heavy thrombus burden, with no underlying atherosclerotic disease. The patient was successfully treated with aspiration thrombectomy and conservative medical management. This case underscores a potential, albeit rare, association between clomiphene use and myocardial infarction, warranting caution in its use—even among individuals without traditional cardiovascular risk factors.</p><h2>Other Information</h2><p dir="ltr">Published in: Science Progress<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1177/00368504251349392" target="_blank">https://dx.doi.org/10.1177/00368504251349392</a></p>
eu_rights_str_mv openAccess
id Manara2_5c5e4f46e57645d7e0264f55d452c5b0
identifier_str_mv 10.1177/00368504251349392
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30455930
publishDate 2025
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complicationZubair Shahid (16441927)Gi Eun Kim (18185908)Tariq Mousa (22504286)Ziad AlSehli (22504289)Awad Al-Qahtani (315456)Biomedical and clinical sciencesCardiovascular medicine and haematologyPharmacology and pharmaceutical sciencesReproductive medicineClomiphene citratemale hypogonadismmyocardial infarctiondrug-induced thrombosisthromboembolism<p dir="ltr">Clomiphene citrate is commonly prescribed to treat male hypogonadism due to its ability to increase endogenous testosterone levels while preserving fertility. Although it is generally considered safe, and rare serious cardiovascular events have been reported. We present the case of a male in his early 30s with no known cardiovascular risk factors who developed an acute inferior-posterior ST-elevation myocardial infarction while taking clomiphene for infertility. Coronary angiography revealed complete occlusion of the distal right coronary artery due to a heavy thrombus burden, with no underlying atherosclerotic disease. The patient was successfully treated with aspiration thrombectomy and conservative medical management. This case underscores a potential, albeit rare, association between clomiphene use and myocardial infarction, warranting caution in its use—even among individuals without traditional cardiovascular risk factors.</p><h2>Other Information</h2><p dir="ltr">Published in: Science Progress<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1177/00368504251349392" target="_blank">https://dx.doi.org/10.1177/00368504251349392</a></p>2025-07-09T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1177/00368504251349392https://figshare.com/articles/journal_contribution/Clomiphene-induced_myocardial_infarction_in_a_young_male_A_case_report_of_a_rare_cardiovascular_complication/30455930CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/304559302025-07-09T03:00:00Z
spellingShingle Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
Zubair Shahid (16441927)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Pharmacology and pharmaceutical sciences
Reproductive medicine
Clomiphene citrate
male hypogonadism
myocardial infarction
drug-induced thrombosis
thromboembolism
status_str publishedVersion
title Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
title_full Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
title_fullStr Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
title_full_unstemmed Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
title_short Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
title_sort Clomiphene-induced myocardial infarction in a young male: A case report of a rare cardiovascular complication
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Pharmacology and pharmaceutical sciences
Reproductive medicine
Clomiphene citrate
male hypogonadism
myocardial infarction
drug-induced thrombosis
thromboembolism