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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.
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.
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.
16 kwi 2024 · Cocaine use is more frequently associated with acute rather than chronic cardiovascular illness. Among cocaine users who present to emergency departments, cardiovascular complaints, particularly chest pain, are common .
1 lut 2024 · The treatment of cocaine-associated chest pain is similar to patients with traditional cardiac risk factors other than the emphasis on the use of benzodiazepines, nitroprusside, and phentolamine as well as the avoidance of beta-blockers.
Chest pain usually develops within 60 minutes, but can occur hours or days after cocaine use. Other symptoms accompanying acute cocaine intoxication may include dyspnea, diaphoresis, anxiety, palpitations, dizziness, and nausea. Obtain 12-lead ECG, troponin, u-tox, CXR, and consider the need for CTA chest.
