[Myocardial necrosis is not observed during acute cocaine abuse detectable by the serum levels of troponin T].
BACKGROUND
Recently we can use a new family of serological markers to objective myocardial damage with hig sensibility and specificity. One of these markers is T troponin (c-TNT). Some cocaine abusers have chest pain during drug consumption due to myocardial ischemia produced by the drug.


OBJECTIVE
To study if in the chest pain appeared after cocaine consumption a c-TNT increased is objective, showing myocardial cellular damage.


METHODS
We studied 65 patients; 35 cocaine abusers that were admitted into the emergency room for chest pain after cocaine consumption and 30 patients with no coronary chest pain. To all of them were determined c-TNT and CK.


RESULTS
An increase in c-TNT or CK was not observed in both groups.


CONCLUSIONS
We don't observe an increase in c-TNT in the group of cocaine abusers that evidence myocardial cellular damage.
Epelde
F
F
Servicio de Urgencias, Hospital Mutua de Terrassa, Barcelona.
del Río
M
M
Argilaga
R
R
Tomás
S
S
D000208:Acute Disease; D000328:Adult; D015415:Biomarkers / Q000097:blood; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D004796:Clinical Enzyme Tests; D019970:Cocaine-Related Disorders / Q000097:blood / Q000150:complications*; D003402:Creatine Kinase / Q000097:blood; D005260:Female; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology*; D009336:Necrosis; D013997:Time Factors; D020107:Troponin T / Q000097:blood*
D015415:Biomarkers; D020107:Troponin T; D003402:Creatine Kinase