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17 mar 2008 · Cardiopulmonary complaints are the most frequently reported symptoms among cocaine users (occurring in up to 56%), with chest pain being the single most frequent symptom. 8 Cocaine-associated chest pain is usually perceived as pressure-like in quality. 19 Other frequent symptoms include dyspnea, anxiety, palpitations, dizziness, and nausea. 8 ...
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 · 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.
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 · The patient had a history of cocaine-related chest pain and had undergone coronary angiography which showed clear but spasm-prone arteries (figure 1); this spasm was so significant that during a previous admission it had led to a ventricular fibrillation cardiac arrest. After some discussion, she had had an internal cardiac defibrillator implanted.
17 mar 2008 · Assessing risk of major adverse cardiac events among patients with chest pain and cocaine use using the HEART score, The American Journal of Emergency Medicine, 80, (29-34), (2024). https://doi.org/10.1016/j.ajem.2024.01.040
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].
