Document Detail


Cannabis and cocaine: a lethal cocktail triggering coronary sudden death.
MedLine Citation:
PMID:  18402793     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case of a 31-year-old man who died suddenly, with a history of drug abuse and no risk factors for coronary artery disease, is herein reported. Postmortem examination disclosed critical stenosis due to a fibrocellular atherosclerotic plaque complicated by occlusive thrombosis at the level of the left anterior descending coronary artery. Chemico-toxicological analysis revealed high levels of cocaine, tetrahydrocannabinol, and metabolites. When dealing with an acute coronary syndrome in young people, with or without a history of drug abuse, toxicological examination should always be performed to rule out unnatural causes of myocardial ischemia.
Authors:
Massimo Montisci; Gaetano Thiene; Santo Davide Ferrara; Cristina Basso
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-05
Journal Detail:
Title:  Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology     Volume:  17     ISSN:  1054-8807     ISO Abbreviation:  Cardiovasc. Pathol.     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-08     Completed Date:  2008-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9212060     Medline TA:  Cardiovasc Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  344-6     Citation Subset:  IM    
Affiliation:
Forensic Medicine, Department of Medico-Diagnostic Sciences and Special Therapies, University of Padua Medical School, Padua, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cannabis / adverse effects*
Cocaine / adverse effects*
Coronary Artery Disease / complications
Coronary Stenosis / etiology
Death, Sudden, Cardiac / etiology*
Dopamine Uptake Inhibitors / adverse effects*
Humans
Male
Substance-Related Disorders / physiopathology*
Chemical
Reg. No./Substance:
0/Dopamine Uptake Inhibitors; 50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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