Cocaine-induced myocardial infarction: an analysis and review of the literature.
Publication/Presentation Date
1-1-1992
Abstract
The objectives of this paper are to analyze the case reports of cocaine-induced myocardial infarction and to better define the clinical characteristics of this syndrome. An English language literature search was carried out using MEDLINE, and a bibliographic review of all identified articles and book chapters was conducted. Ninety-one cases of cocaine-induced myocardial infarction were identified. Intranasal, intravenous, and inhalational routes of abuse all resulted in myocardial infarction. Fourty-four percent of patients had previously noted chest pain. Eighty-seven percent of patients were cigarette smokers. Two-thirds of patients had their myocardial infarction within 3 hours of the use of cocaine (with a range of 1 minute to 4 days). Cardiac catheterizations were abnormal in 30 of 54 patients (55%). Of the 24 patients with reported follow-up, 14 (58%) had further ischemic events after discharge. In conclusion, cocaine-induced myocardial infarction identifies a group of young individuals who may be prone to recurrent complications after initial presentation.
Volume
10
Issue
2
First Page
169
Last Page
177
ISSN
0736-4679
Published In/Presented At
Hollander, J. E., & Hoffman, R. S. (1992). Cocaine-induced myocardial infarction: an analysis and review of the literature. The Journal of emergency medicine, 10(2), 169–177. https://doi.org/10.1016/0736-4679(92)90212-c
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
1607624
Department(s)
Administration and Leadership
Document Type
Article