title: Cardiac arrhythmia and myocardial ischaemia related to cocaine and alcohol consumption.
abstract: Following the drinking of 150 g of alcohol and a large amount of intra-nasal cocaine a previously healthy 31 year old man developed severe retrosternal pain and circulatory failure. An electrocardiogram showed supra-ventricular tachycardia with widespread ischaemic changes. Following electrical cardioversion electrocardiographic evidence of myocardial ischaemia persisted for 1 h. Two days later basal and exercise electrocardiograms were normal. The combination of alcohol and cocaine may be life threatening.
mesh_terms: D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications*; D003042:Cocaine; D003327:Coronary Disease / Q000209:etiology*; D006801:Humans; D008297:Male; D019966:Substance-Related Disorders / Q000150:complications*; D013610:Tachycardia / Q000209:etiology*
chemical_list: D003042:Cocaine