Document Detail

Recurrent ventricular arrhythmias and myocardial infarctions associated with cocaine induced reversible coronary vasospasm.
MedLine Citation:
PMID:  20865684     Owner:  NLM     Status:  MEDLINE    
Cocaine has become the most frequently used illicit drug among patients presenting to emergency departments worldwide. Although acute myocardial infarction is the most common reported cardiovascular manifestation in this setting, there are many other potential cardiotoxic effects of cocaine use including coronary artery spasm, arrhythmia, and sudden death. We report the case of a 54 year-old male with angiographically documented reversible coronary arterial spasm leading to severe life-threatening recurrent ventricular arrhythmias and electrocardiographic changes suggesting acute myocardial infarction secondary to cocaine use. Recurrent ventricular arrhythmias of this patient required implantation of a cardioverter-defibrillator which successfully treated following arrhythmia episodes.
Aytul Belgi Yildirim; Ibrahim Basarici; Murathan Kucuk
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology journal     Volume:  17     ISSN:  1897-5593     ISO Abbreviation:  Cardiol J     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-24     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392712     Medline TA:  Cardiol J     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  512-7     Citation Subset:  IM    
Akdeniz University, School of Medicine, Department of Cardiology, Antalya, Turkey.
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MeSH Terms
Cocaine / adverse effects
Cocaine-Related Disorders / complications*
Coronary Angiography
Coronary Vasospasm / chemically induced*,  complications*,  therapy
Defibrillators, Implantable
Middle Aged
Myocardial Infarction / etiology*,  radiography
Vasoconstrictor Agents / adverse effects
Ventricular Fibrillation / diagnosis,  etiology*,  therapy
Reg. No./Substance:
0/Vasoconstrictor Agents; 50-36-2/Cocaine

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