The deaths of several celebrities in recent years in associationwith the nontherapeutic use of cocaine have focused widespreadattention on the problem of cocaine abuse. In 1999, an estimated25 million Americans admitted that they had used cocaine atleast once; 3.7 million had used it within the previous year;and 1.5 million were current users. During the same year, cocainewas mentioned in 30 percent of all drug-related visits to emergencydepartments.1 Cocaine is the most commonly used illicit drugamong subjects seeking care in hospital emergency departmentsor drug-treatment centers. In addition, it is the most frequent. . . [Full Text of this Article]
Pharmacology and Mechanisms of Action
Cocaine-Related Myocardial Ischemia and Infarction
Cocaine, Cigarette Smoking, and Alcohol Use
Cocaine-Induced Myocardial Dysfunction
Cocaine-Induced Dysrhythmias
Endocarditis
Aortic Dissection
Conclusions
Source Information
From the Cardiovascular Division, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
Address reprint requests to Dr. Hillis at the Department of Internal Medicine, Room CS7.102, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9047.
References
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Halpern, E. J.
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Zimmerman, J. L.
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[Full Text]
McCord, J., Jneid, H., Hollander, J. E., de Lemos, J. A., Cercek, B., Hsue, P., Gibler, W. B., Ohman, E. M., Drew, B., Philippides, G., Newby, L. K.
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Page, R. L. II, Utz, K. J, Wolfel, E. E
(2007). Should {beta}-Blockers Be Used in the Treatment of Cocaine-Associated Acute Coronary Syndrome?. The Annals of Pharmacotherapy
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[Abstract][Full Text]
van der Wal, A. C
(2007). Coronary artery pathology. Heart
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Fine, D. M., Garg, N., Haas, M., Rahman, M. H., Lucas, G. M., Scheel, P. J., Atta, M. G.
(2007). Cocaine Use and Hypertensive Renal Changes in HIV-Infected Individuals. CJASN
2: 1125-1130
[Abstract][Full Text]
Rezkalla, S. H., Kloner, R. A.
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5: 172-176
[Abstract][Full Text]
Menon, D. V., Wang, Z., Fadel, P. J., Arbique, D., Leonard, D., Li, J.-L., Victor, R. G., Vongpatanasin, W.
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[Abstract][Full Text]
Restrepo, C. S., Carrillo, J. A., Martinez, S., Ojeda, P., Rivera, A. L., Hatta, A.
(2007). Pulmonary Complications from Cocaine and Cocaine-based Substances: Imaging Manifestations. RadioGraphics
27: 941-956
[Abstract][Full Text]
Williams, E.L., Endean, A.L., Edwards, C.J.
(2007). Myocardial infarction in a young man with antiphospholipid syndrome and cocaine use. Lupus
16: 444-446
[Abstract]
Wood, D. M, Hill, D., Gunasekera, A., Greene, S. L, Jones, A. L, Dargan, P. I
(2007). Is cocaine use recognised as a risk factor for acute coronary syndrome by doctors in the UK?. Postgrad. Med. J.
83: 325-328
[Abstract][Full Text]
Arnaldo, F J, Pulido, M A, House, J G
(2006). Cocaine induced non-ST-elevation myocardial infarction: an uncommon electrocardiographic presentation.. Emerg. Med. J.
23: 816-817
[Full Text]
Lakkireddy, D., Wallick, D., Ryschon, K., Chung, M. K., Butany, J., Martin, D., Saliba, W., Kowalewski, W., Natale, A., Tchou, P. J.
(2006). Effects of Cocaine Intoxication on the Threshold for Stun Gun Induction of Ventricular Fibrillation. J Am Coll Cardiol
48: 805-811
[Abstract][Full Text]
Jaffe, J. A., Kimmel, P. L.
(2006). Chronic Nephropathies of Cocaine and Heroin Abuse: A Critical Review. CJASN
1: 655-667
[Abstract][Full Text]
Baker, J. R, Best, A. M, Pade, P. A, McCance-Katz, E. F
(2006). Effect of Buprenorphine and Antiretroviral Agents on the QT Interval in Opioid-Dependent Patients. The Annals of Pharmacotherapy
40: 392-396
[Abstract][Full Text]
Egred, M, Viswanathan, G, Davis, G K
(2005). Myocardial infarction in young adults. Postgrad. Med. J.
81: 741-745
[Abstract][Full Text]
Egred, M, Davis, G K
(2005). Cocaine and the heart. Postgrad. Med. J.
81: 568-571
[Abstract][Full Text]
Isabelle, M., Monteil, C., Moritz, F., Dautreaux, B., Henry, J.-P., Richard, V., Mulder, P., Thuillez, C.
(2005). Role of {alpha}1-adrenoreceptors in cocaine-induced NADPH oxidase expression and cardiac dysfunction. Cardiovasc Res
67: 699-704
[Abstract][Full Text]
McCary, J. M., O'Connell, J. J.
(2005). Health, Housing, and the Heart: Cardiovascular Disparities in Homeless People. Circulation
111: 2555-2556
[Full Text]
Lee, T. C., Hanlon, J. G., Ben-David, J., Booth, G. L., Cantor, W. J., Connelly, P. W., Hwang, S. W.
(2005). Risk Factors for Cardiovascular Disease in Homeless Adults. Circulation
111: 2629-2635
[Abstract][Full Text]
Satran, A., Bart, B. A., Henry, C. R., Murad, M. B., Talukdar, S., Satran, D., Henry, T. D.
(2005). Increased Prevalence of Coronary Artery Aneurysms Among Cocaine Users. Circulation
111: 2424-2429
[Abstract][Full Text]
Greene, S L, Dargan, P I, Jones, A L
(2005). Acute poisoning: understanding 90% of cases in a nutshell. Postgrad. Med. J.
81: 204-216
[Abstract][Full Text]
Lai, S., Lima, J. A. C., Lai, H., Vlahov, D., Celentano, D., Tong, W., Bartlett, J. G., Margolick, J., Fishman, E. K.
(2005). Human Immunodeficiency Virus 1 Infection, Cocaine, and Coronary Calcification. Arch Intern Med
165: 690-695
[Abstract][Full Text]
Maron, B. J., Chaitman, B. R., Ackerman, M. J., Bayes de Luna, A., Corrado, D., Crosson, J. E., Deal, B. J., Driscoll, D. J., Estes, N.A. M. III, Araujo, C. G. S., Liang, D. H., Mitten, M. J., Myerburg, R. J., Pelliccia, A., Thompson, P. D., Towbin, J. A., Van Camp, S. P., for the Working Groups of the American Heart Assoc,
(2004). Recommendations for Physical Activity and Recreational Sports Participation for Young Patients With Genetic Cardiovascular Diseases. Circulation
109: 2807-2816
[Abstract][Full Text]
Van Mieghem, C., Sabbe, M., Knockaert, D.
(2004). The Clinical Value of the ECG in Noncardiac Conditions. Chest
125: 1561-1576
[Abstract][Full Text]
Mertens, J. R., Lu, Y. W., Parthasarathy, S., Moore, C., Weisner, C. M.
(2003). Medical and Psychiatric Conditions of Alcohol and Drug Treatment Patients in an HMO: Comparison With Matched Controls. Arch Intern Med
163: 2511-2517
[Abstract][Full Text]
Keller, K. B., Lemberg, L.
(2003). The Cocaine-Abused Heart. Am J Crit Care
12: 562-566
[Full Text]
Grohe, C.
(2003). The cardiac cocaine connection. Cardiovasc Res
59: 805-806
[Full Text]
Moritz, F., Monteil, C., Isabelle, M., Bauer, F., Renet, S., Mulder, P., Richard, V., Thuillez, C.
(2003). Role of reactive oxygen species in cocaine-induced cardiac dysfunction. Cardiovasc Res
59: 834-843
[Abstract][Full Text]
Maron, B. J.
(2003). Sudden Death in Young Athletes. NEJM
349: 1064-1075
[Full Text]
Mokhlesi, B., Leikin, J. B., Murray, P., Corbridge, T. C.
(2003). Adult Toxicology in Critical Care: Part II: Specific Poisonings. Chest
123: 897-922
[Full Text]
Weber, J. E., Shofer, F. S., Larkin, G. L., Kalaria, A. S., Hollander, J. E.
(2003). Validation of a Brief Observation Period for Patients with Cocaine-Associated Chest Pain. NEJM
348: 510-517
[Abstract][Full Text]
Fortier, S., Demaria, R. G., Pelletier, G. B., Carrier, M., Perrault, L. P.
(2003). Left ventricular thrombectomy in a cocaine user with normal coronary arteries. J. Thorac. Cardiovasc. Surg.
125: 204-205
[Full Text]
Wobeser, W. L., Datema, J., Bechard, B., Ford, P.
(2002). Causes of death among people in custody in Ontario, 1990-1999. CMAJ
167: 1109-1113
[Abstract][Full Text]
Crandall, C. G., Vongpatanasin, W., Victor, R. G.
(2002). Mechanism of Cocaine-Induced Hyperthermia in Humans. ANN INTERN MED
136: 785-791
[Abstract][Full Text]
Jones, A L, Dargan, P I
(2002). Advances, challenges, and controversies in poisoning.. Emerg. Med. J.
19: 190-192
[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]
Chandrasekaran, B, Kurbaan, A S
(2002). Myocardial infarction with angiographically normal coronary arteries. JRSM
95: 398-400
[Full Text]
Feldman, J., Auer, J., Berent, R., Eber, B., Noel, B., Goel, P., Flaker, G. C., Lange, R. A., Hillis, L. D.
(2001). Cardiovascular Complications of Cocaine Use. NEJM
345: 1575-1576
[Full Text]
Nallamothu, B. K., Saint, S., Kolias, T. J., Eagle, K. A.
(2001). Of Nicks and Time. NEJM
345: 359-363
[Full Text]
Tuncel, M., Wang, Z., Arbique, D., Fadel, P. J., Victor, R. G., Vongpatanasin, W.
(2002). Mechanism of the Blood Pressure--Raising Effect of Cocaine in Humans. Circulation
105: 1054-1059
[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]