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17 Μαρ 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 ...
1 Απρ 2013 · A 38-year-old man with a history of tobacco use presents to the emergency department complaining of constant substernal chest pain for three hours. His temperature is 37.7°C, his heart rate is 110 beats per minute, and his blood pressure is 155/95 mmHg.
3 Νοε 2020 · risk of MI rises as much as 24-fold during the first hour after cocaine use. 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.
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.
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 Μαρ 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
1 Ιουν 2021 · The commentary by Mr. Gupta and colleagues describes a primary concern that the presence of an International Classification of Diseases-10th Revision (ICD-10) code for cocaine use does not imply causation of cocaine use leading to myocardial infarction.
