FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 330:510-511 February 17, 1994 Number 7 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.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

To the Editor: Cocaine abuse has been associated with myocardial injury, infarction, and dysfunction caused by a number of mechanisms, including coronary vasospasm, thrombotic coronary occlusion, and marked systemic hypertension¹. We report a case of acute coronary-artery dissection and consequent myocardial ischemia and infarction after cocaine use.

A 27-year-old previously healthy man presented to a local emergency room after having 45 minutes of substernal chest pain radiating to both scapulas, nausea, and diaphoresis. The pain followed nasal inhalation of cocaine for 2 to 3 hours and began 10 to 15 minutes after the man smoked "crack" cocaine. An electrocardiogram . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Rezkalla, S. H., Kloner, R. A. (2007). Cocaine-Induced Acute Myocardial Infarction. Clin Med Res 5: 172-176 [Abstract] [Full Text]  
• Auer, J, Punzengruber, C, Berent, R, Weber, T, Lamm, G, Hartl, P, Eber, B (2004). Spontaneous coronary artery dissection involving the left main stem: assessment by intravascular ultrasound. Heart 90: e39-e39 [Abstract] [Full Text]  
• Celik, S. K., Sagcan, A., Altintig, A., Yuksel, M., Akin, M., Kultursay, H. (2001). Primary spontaneous coronary artery dissections in atherosclerotic patients. Report of nine cases with review of the pertinent literature. Eur. J. Cardiothorac. Surg. 20: 573-576 [Abstract] [Full Text]  
• Ghuran, A, Nolan, J (2000). Recreational drug misuse: issues for the cardiologist. Heart 83: 627-633 [Full Text]  
• Conraads, V. M., Vorlat, A., Colpaert, C. G., Rodrigus, I. E., De Paep, R. J., Moulijn, A. C., Vrints, C. J. (1999). Spontaneous Dissection of Three Major Coronary Arteries Subsequent to Cystic Medial Necrosis. Chest 116: 1473-1475 [Abstract] [Full Text]  
• Hsue, P. Y., Salinas, C. L., Bolger, A. F., Benowitz, N. L., Waters, D. D. (2002). Acute Aortic Dissection Related to Crack Cocaine. Circulation 105: 1592-1595 [Abstract] [Full Text]