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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.
Cocaine-Related Chest Pain and Myocardial Infarction Complications from cocaine abuse involve nearly all organ systems, and thus, when a patient presents with symptoms of chest pain, or dyspnea, anxiety, palpitations, dizziness and/or nausea, the initial evaluation should be directed toward ruling out MI [5, 16].
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.
20 gru 2022 · Take home points on cocaine chest pain ECG interpretation. Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion; Chest pain + ST elevation: consider false positive STEMI including early repolarization, LVH and Brugada-pattern
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.
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.
16 kwi 2024 · Among cocaine users who present to emergency departments, cardiovascular complaints, particularly chest pain, are common . In such patients, acute coronary syndromes (including myocardial ischemia and infarction), aortic dissection and rupture, arrhythmias, myocarditis, and vasculitis need to be considered [ 3 ].
