title: Cocaine-related myocardial infarction: concomitant heroin use can cloud the picture.
abstract: Cocaine-related myocardial infarction is a well-known phenomenon. Concurrent heroin use can mask signs and symptoms of myocardial infarction. We discuss an unusual presentation of myocardial infarction, associated with both cocaine and heroin ("speedball") self-injection, that initially went undiagnosed.
authors: University of Arizona Affiliated Hospitals, University Medical Center, 1501 N. Campbell Avenue, Tucson, AZ 85724, USA. attaran@doctor.com
authors: Robert
authors: R
authors: Attaran
authors: Dassen
authors: D
authors: Ragavan
authors: Avalon
authors: A
authors: Probst
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000175:diagnosis*; D004338:Drug Combinations; D003932:Heroin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000175:diagnosis*
chemical_list: D004338:Drug Combinations; D003932:Heroin