Document Detail

Cocaine and the heart.
MedLine Citation:
PMID:  20513064     Owner:  NLM     Status:  MEDLINE    
The use of cocaine may be associated with either acute or chronic toxicity, and approximately 5% to 10% of emergency department visits in the United States are believed to be secondary to cocaine usage. Chest pain is the most common cocaine-related medical problem, leading to the evaluation of approximately 64,000 patients annually for possible myocardial infarction, of which approximately 57% are admitted to the hospital, resulting in an annual cost greater than $83 million. There is a plethora of cocaine-related cardiovascular complications, including acute myocardial ischemia and infarction, arrhythmias, sudden death, myocarditis, cardiomyopathy, hypertension, aortic ruptures, and endocarditis. There is no evidence to suggest that preexisting vascular disease is a prerequisite for the development of a cocaine-related cardiovascular event, although it may be a potentiating factor, as may be nicotine and alcohol.
Suraj Maraj; Vincent M Figueredo; D Lynn Morris
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical cardiology     Volume:  33     ISSN:  1932-8737     ISO Abbreviation:  Clin Cardiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  264-9     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Wiley Periodicals, Inc.
Albert Einstein Medical Center, Department of Cardiovascular Diseases, Philadelphia, Pennsylvania, USA.
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MeSH Terms
Angina Pectoris / chemically induced,  economics
Cardiovascular Diseases / chemically induced*,  diagnosis,  economics,  physiopathology,  therapy
Central Nervous System Stimulants / adverse effects*
Cocaine / adverse effects*
Cocaine-Related Disorders / complications*,  economics,  physiopathology
Emergency Service, Hospital / economics
Health Care Costs
Heart / drug effects*
Risk Factors
United States
Reg. No./Substance:
0/Central Nervous System Stimulants; 50-36-2/Cocaine

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

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