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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 · Cocaine-related vasoconstriction can still cause acute MI hours or as many as 4 days later (rarely) CLINICAL FEATURES. Chest pain is not reliably present in patients with cocaine-associated MI. only 44% of patients with cocaine-associated MI had chest pain (Hollander and Hoffman, J Emerg Med 1992)
20 gru 2022 · Take home points on cocaine chest pain ECG interpretation. Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion; Chest pain + ST elevation: consider false positive STEMI including early repolarization, LVH and Brugada-pattern
1 kwi 2013 · Benzodiazepines help reverse the systemic effects of cocaine, while nitroglycerin aids in reversing its vasoconstrictive properties; both medications are mainstay treatments of CACP.
Clinical presentation. Chest pain (often "cardiac sounding") is the commonest (56%) presenting complaint amongst cocaine users. Dyspnoea and shortness of breath are commonly associated. Beware - up to half of cocaine associated AMIs do NOT report chest pain (palpitations or SOB etc)
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 .
Every year more than 500,000 patients present to the emergency department with cocaine-associated complications, most commonly chest pain. Many of these patients undergo extensive work-up and treatment.
