TY - JOUR
T1 - An angiographic and histologic study of cocaine-induced chest pain
AU - Majid, Pirzada A.
AU - Patel, Bharat
AU - Kim, Han Seob
AU - Zimmerman, Janice L.
AU - Dellinger, R. Phillip
PY - 1990/3/15
Y1 - 1990/3/15
N2 - Chest pain is not an uncommon symptom in patients who abuse cocaine. A small number also develop acute myocardial infarction.1,2 Most, however, show electrocardiographic ST-segment or T-wave abnormalities as the only objective evidence of myocardial ischemia. Coronary artery spasm has been popularly invoked as the possible cause for chest pain.3,4 However, evidence for spasm is largely circumstantial at present. An alternative source of pain may be myocarditis,5 which has been demonstrated in some patients dying of cocaine abuse.6,7.
AB - Chest pain is not an uncommon symptom in patients who abuse cocaine. A small number also develop acute myocardial infarction.1,2 Most, however, show electrocardiographic ST-segment or T-wave abnormalities as the only objective evidence of myocardial ischemia. Coronary artery spasm has been popularly invoked as the possible cause for chest pain.3,4 However, evidence for spasm is largely circumstantial at present. An alternative source of pain may be myocarditis,5 which has been demonstrated in some patients dying of cocaine abuse.6,7.
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U2 - 10.1016/0002-9149(90)91396-N
DO - 10.1016/0002-9149(90)91396-N
M3 - Article
C2 - 2316468
AN - SCOPUS:0025280166
SN - 0002-9149
VL - 65
SP - 812
EP - 814
JO - The American Journal of Cardiology
JF - The American Journal of Cardiology
IS - 11
ER -