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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.
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.
Clinical presentation. Chest pain (often "cardiac sounding") is the commonest (56%) presenting complaint amongst cocaine users. Dyspnoea and shortness of breath are commonly associated. Beware - up to half of cocaine associated AMIs do NOT report chest pain (palpitations or SOB etc)
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.
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.
