[Acute cardiovascular complications of cocaine. About two case reports].
Concerning any socioprofessional category, some addictive drugs like cocaine are responsible for many complications. The authors relate two case reports of young patients who suffered from cardiovascular accidents due to this drug. The first one was diagnosed with an ischemic stroke caused by carotid artery dissection and a leg distal vascular obliteration, the second one with a myocardial infarction with transient left ventricular dysfunction. Through these two case reports, the authors take stock of the pathophysiological and therapeutic knowledge of cardiovascular accidents after cocaine intake.
Debien
B
B
Service d'anesthésie-réanimation, hôpital d'instruction des armées Percy, 101, avenue Henri-Barbusse, BP 406, 92141 Clamart cedex, France. bruno.debien@free.fr
Clapson
P
P
Lambert
E
E
Lenoir
B
B
Perez
J-P
JP
Pats
B
B
D000328:Adult; D000671:Amputation, Surgical; D000673:Amputation, Traumatic; D001037:Aphasia / Q000209:etiology; D002545:Brain Ischemia / Q000209:etiology*; D020215:Carotid Artery, Internal, Dissection / Q000139:chemically induced*; D002543:Cerebral Hemorrhage / Q000209:etiology; D002557:Cerebrospinal Fluid Shunts; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications; D005158:Facial Paralysis / Q000209:etiology; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis; D006429:Hemiplegia / Q000209:etiology; D006556:Heroin Dependence / Q000150:complications; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000601:surgery; D007511:Ischemia / Q000139:chemically induced / Q000601:surgery; D007869:Leg Injuries / Q000150:complications; D008297:Male; D002189:Marijuana Abuse / Q000150:complications; D009203:Myocardial Infarction / Q000139:chemically induced*; D017202:Myocardial Ischemia / Q000139:chemically induced*; D012771:Shock, Hemorrhagic / Q000209:etiology; D012907:Smoking / Q000009:adverse effects; D013226:Status Epilepticus / Q000139:chemically induced; D013610:Tachycardia / Q000139:chemically induced*; D014034:Toes / Q000098:blood supply / Q000601:surgery
D003042:Cocaine