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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 · Benzodiazepines help reverse the systemic effects of cocaine, while nitroglycerin aids in reversing its vasoconstrictive properties; both medications are mainstay treatments of CACP.
8 wrz 2014 · A 37-year-old woman was admitted into the coronary care unit following chest pain after using cocaine. She was found to have significant myocardial ischaemia on blood and ECG investigations despite a recent coronary angiogram that had not demonstrated flow-limiting coronary disease.
Treatment of Cocaine-Related Chest Pain There are no well-designed, randomized, prospective clinical trials to compare treatment algorithms for cocaine-associated ischemia .
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.
9 cze 2022 · Cessation of cocaine is the most effective secondary prevention strategy as recurrent chest pain, MI, and death are rare in patients who discontinue use. 1. Diagnostic Process. History & Physicaland Limitations: All patients with chest pain should be asked directly about cocaine use. 1-4.
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 ...
