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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.
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.
We aim to update the reader on more recent, albeit small, studies on the emergency department evaluation and clinical and pharmacologic management of cocaine-associated chest pain. Finally, we summarize recent guidelines and review an algorithm based on the current best evidence.
10 paź 2015 · Chest pain following cocaine use is a common presenting symptom. 1 The majority of patients are young, male, smokers and have a previous history of cocaine abuse. 2 The differential diagnosis of cocaine-induced chest pain includes: aortic dissection. coronary artery vasospasm.
16 kwi 2024 · Among cocaine users who present to emergency departments, cardiovascular complaints, particularly chest pain, are common [1,2]. In such patients, acute coronary syndromes (including myocardial ischemia and infarction), aortic dissection and rupture, arrhythmias, myocarditis, and vasculitis need to be considered [3].
17 mar 2008 · Assessing risk of major adverse cardiac events among patients with chest pain and cocaine use using the HEART score, The American Journal of Emergency Medicine, 80, (29-34), (2024). https://doi.org/10.1016/j.ajem.2024.01.040
An abnormal ECG has been reported in 56% to 84% of patients with cocaine-associated chest pain. ECG sensitivity in revealing ischaemia or MI to predict a true MI is only 36%. Specificity, positive predictive value, and negative predictive value of the ECG are 89.9%, 17.9%, and 95.8%, respectively.
