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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.
1 kwi 2013 · Given potential differences in treatment regimens, it is imperative to differentiate patients who present with CACP from those whose chest pain is not associated with cocaine either by direct questioning or by screening of urine for cocaine metabolites.
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.
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].
25 lis 2019 · Any chest pain associated with cocaine usage should be treated as an emergency: Antiplatelet therapy (Aspirin 300 mg PO). Benzodiazepines and nitrates (e.g. Diazepam 10 mg PO) to relieve chest pain.
16 kwi 2024 · Among cocaine users who present to emergency departments, cardiovascular complaints, particularly chest pain, are common [1,2]. In such patients, acute coronary syndromes (including myocardial ischemia and infarction), aortic dissection and rupture, arrhythmias, myocarditis, and vasculitis need to be considered [3].
