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Previous Volume 345:359-363 August 2, 2001 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 32-year-old man with a history of asthma and "crack" cocaine use presented to the emergency department after an episode of syncope. Earlier that evening, he had smoked crack cocaine several times. Shortly after his last use, he began to have sharp chest pain, which radiated to his shoulders and was associated with dizziness and diaphoresis, followed by a sudden loss of consciousness. His wife, who witnessed the event, described him as "foaming at the mouth" and having involuntary trembling of his arms and legs. He was brought immediately to the emergency department.

The patient reported no shortness of breath, . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Internal Medicine, University of Michigan (B.K.N., S.S., T.J.K., K.A.E.), and the Health Services Research and Development Field Program, Ann Arbor Veterans Affairs Medical Center (S.S.) — both in Ann Arbor.

Address reprint requests to Dr. Nallamothu at B1F245 University Hospital, Ann Arbor, MI 48109-0022, or at bnallamo@umich.edu.

References

This article has been cited by other articles:

• Su, J., Li, J., Li, W., Altura, B. T., Altura, B. M. (2004). Cocaine Induces Apoptosis in Primary Cultured Rat Aortic Vascular Smooth Muscle Cells: Possible Relationship to Aortic Dissection, Atherosclerosis, and Hypertension. International Journal of Toxicology 23: 233-237 [Abstract] [Full Text]  
• Keller, K. B., Lemberg, L. (2003). The Cocaine-Abused Heart. Am J Crit Care 12: 562-566 [Full Text]  
• Nienaber, C. A., Eagle, K. A. (2003). Aortic Dissection: New Frontiers in Diagnosis and Management: Part I: From Etiology to Diagnostic Strategies. Circulation 108: 628-635 [Full Text]  
• Eagle, K. A., Isselbacher, E. M., DeSanctis, R. W., and the International Registry for Aortic Dissecti, (2002). Cocaine-Related Aortic Dissection in Perspective. Circulation 105: 1529-1530 [Full Text]