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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.
15 gru 2018 · Systematic review. Introduction. Clinical Significance. •. Based on the current evidence, beta-blockers do not appear to be associated with higher incidence of adverse clinical outcomes among patients with cocaine-related chest pain. •. Labetalol seems to be the one with the strongest evidence in safety in the setting of cocaine-related chest pain.
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)
17 mar 2008 · Hollander JE, Hoffman RS, Gennis P, Fairweather P, DiSano MJ, Schumb DA, Feldman JA, Fish SS, Dyer S, Wax P, Whelan C, Schwartzwald E. Nitroglycerin in the treatment of cocaine associated chest pain–clinical safety and efficacy.
Management of Cocaine-Induced Chest Pain. Olivier Frankenberger, Tseday Sirak, Sripal Bangalore, and Henry H. Greenberg. ency departments or drug treatment centers. More than 30% of men and 20% of women between the ages of 26 and 34 years, representing an estimated 25 million Americans, report that t.
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.
