title: Cardiopulmonary abnormalities after smoking cocaine.
abstract: We recently treated a young man who had chest pain after smoking "freebase" cocaine. Pneumomediastinum was diagnosed, and the electrocardiographic changes that developed were characteristic of coronary artery spasm. Although pneumomediastinum has been linked to "freebasing," we believe electrocardiographic abnormalities in this situation have not been previously reported.
authors.affiliation: Department of Internal Medicine, Mercy Hospital and Medical Center, Chicago, Ill.
authors.forename: T
authors.initials: T
authors.lastname: Christou
authors.forename: T
authors.initials: T
authors.lastname: Turnbull
authors.forename: D
authors.initials: D
authors.lastname: Cline
mesh_terms: D000328:Adult; D001919:Bradycardia / Q000139:chemically induced; D003042:Cocaine; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000175:diagnosis; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000139:chemically induced* / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic; D019966:Substance-Related Disorders / Q000150:complications*
chemical_list: D003042:Cocaine