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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.
15 gru 2018 · To our knowledge, large prospective trials or meta-analyses evaluating appropriate treatment and clinical outcomes, such as myocardial infarction and mortality, are lacking for patients with cocaine-related chest pain.
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.
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
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.
8 wrz 2014 · Around 2.2% of people aged 15–59 in the UK have used cocaine according to the crime survey for England and Wales 2011/2012. 1 A significant proportion of these will develop cocaine-related chest pain and a subset of these present to emergency departments.
Cardiac Arrhythmias. -dia, and torsade de pointes [14, 27–29]. Cocaine is known to reduce vagal activ-ity, which may potentiate cocaine’s sympathomimetic effects, thereby increasing ventricular irritability and lo.
