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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.
Treatment of Cocaine-Related Chest Pain There are no well-designed, randomized, prospective clinical trials to compare treatment algorithms for cocaine-associated ischemia. However, there is a general agreement that treatment of cocaine-induced myocardial ischemia differs in several ways from that of acute MI due to other causes. According to
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.
17 mar 2008 · A pilot study to assess the safety of dobutamine stress echocardiography in the emergency department evaluation of cocaine-associated chest pain. Ann Emerg Med . 2001; 38 : 42–48.
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.
Management of cocaine-associated chest pain. O Fayomi. Correspondence to Dr O Fayomi, St George's Hospital, London, UK; olufayomi@o2.co.uk.
This article reviews cocaine's pharmacology, its role in the pathogenesis of chest pain with specific emphasis on its role in inducing myocardial ischemia, and current diagnostic and management strategies for cocaine-associated chest pain encountered in the ED.
