Search results
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. Beta-blocker use remains controversial but can be considered at discharge for patients with documented MI, left ventricular systolic dysfunction, or ventricular ...
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.
Clinical Features. Chest pain in the setting of cocaine or related stimulant use. Differential Diagnosis. Chest pain. Critical. Acute coronary syndromes (ACS) STEMI. Non-STEMI. Unstable angina. Aortic dissection. Cardiac tamponade. Coronary artery dissection. Esophageal perforation (Boerhhaave's syndrome) Pulmonary embolism. Tension pneumothorax.
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.
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 [ 1,2 ].
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
