With which mechanism the overuse of energy drinks may induce acute myocardial ischemia?

摘要

I read with interest the case presented by Wilson et al. [1] recently published in cardiovascular Toxicology. They reported a case of 17-year-old male who had been diagnosed with transient coronary vasospasms as a result of drinking a disproportionate amount of caffeinated energy drinks (3-4 Redbull? 80 mg of caffeine/can and 2-3 Monster? 160 mg of caffeine/can) prior to presentation. Three points worth mentioning about this case that may be interesting for the readers. First, in addition to taurine and caffeine that the authors have mentioned, Redbull? contains glucuronolactone (a glucose metabolite) and Monster? contains varying amounts of glucuronolactone, L-Carnitine (an amino acid), guarana extract (from a South American plant; Paullinia cupana), and ginseng extract (from an East Asian herb).