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17 mar 2008 · The goals of the present article are to provide a critical review of the literature on cocaine-associated chest pain and myocardial infarction (MI) and to give guidance for diagnostic and therapeutic interventions.
3 lis 2020 · 0.7%-6% of patients presenting to the ED with chest pain during or immediately after using cocaine will rule in for an MI based on cardiac biomarkers. risk of MI rises as much as 24-fold during the first hour after cocaine use.
1 kwi 2013 · Given potential differences in treatment regimens, it is imperative to differentiate patients who present with CACP from those whose chest pain is not associated with cocaine either by direct questioning or by screening of urine for cocaine metabolites.
15 gru 2018 · Electronic databases were systematically searched to identify literature relevant to patients with cocaine-associated chest pain who were treated with or without beta-blockers. We examined the end-points of in-hospital all-cause mortality and myocardial infarction.
16 kwi 2024 · Cocaine use is more frequently associated with acute rather than chronic cardiovascular illness. Among cocaine users who present to emergency departments, cardiovascular complaints, particularly chest pain, are common .
6% incidence of AMI with cocaine chest pain; Cocaine associated with 24x risk of true MI; Be aware of cocaethylene metabolites in the setting of EtOH use, will produce longer symptoms and potentially be more directly cardiotoxic; Clinical Features. Chest pain in the setting of cocaine or related stimulant use; Differential Diagnosis Chest pain ...
Treatment of Cocaine-Related Chest Pain There are no well-designed, randomized, prospective clinical trials to compare treatment algorithms for cocaine-associated ischemia .
