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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.
3 lis 2020 · Cocaine-related vasoconstriction can still cause acute MI hours or as many as 4 days later (rarely) 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)
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.
16 kwi 2024 · Cocaine use is more frequently associated with acute rather than chronic cardiovascular illness. Among cocaine users who present to emergency departments, cardiovascular complaints, particularly chest pain, are common .
Treatment of Cocaine-Related Chest Pain There are no well-designed, randomized, prospective clinical trials to compare treatment algorithms for cocaine-associated ischemia .
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.
1 kwi 2013 · Clinician goals in the management of CACP are to rapidly and accurately exclude life-threatening etiologies; assess the need for urgent acute coronary syndrome (ACS) evaluation; risk-stratify patients and ensure appropriate disposition; normalize the toxic effects of cocaine; treat resultant organ damage; and prevent long-term complications.
