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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 · Electronic databases were systematically searched to identify literature relevant to patients with cocaine-associated chest pain who were treated with or without beta-blockers. We examined the end-points of in-hospital all-cause mortality and myocardial infarction.
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. Mayo Clin Proc. 2011;86(12):1198-1207.
8 kwi 2008 · A prospective multicenter observational study to evaluate the clinical safety and efficacy of nitroglycerin in the treatment of cocaine associated chest pain found that the treated patients were at higher risk of ischemic heart disease.
Treatment of Cocaine-Related Chest Pain There are no well-designed, randomized, prospective clinical trials to compare treatment algorithms for cocaine-associated ischemia .
3 lis 2020 · 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) Dyspnea and diaphoresis are other common symptoms that should prompt concern for acute MI if chest pain is not present.
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.
