title: Acute myocardial infarction following the use of intranasal anesthetic cocaine.
abstract: The use of cocaine has become largely obsolete in modern medical practice; however, it is still used by otolaryngologists for topical anesthesia in head and neck surgeries. We present the case of a 68-year-old woman who developed a myocardial infarction after the use of topical cocaine during nasal sinus surgery, and review the literature regarding the use of cocaine as a topical anesthetic in otolaryngologic practice. Awareness is raised of a possible complication of myocardial infarction following topical cocaine anesthetic use.
authors.affiliation: Department of Medicine, Division of Cardiology, North Shore University Hospital, Manhasset, NY 11030, USA.
authors.forename: John N
authors.initials: JN
authors.lastname: Makaryus
authors.forename: Amgad N
authors.initials: AN
authors.lastname: Makaryus
authors.forename: Michelle
authors.initials: M
authors.lastname: Johnson
mesh_terms: D000281:Administration, Intranasal; D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D003042:Cocaine / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000139:chemically induced*; D010256:Paranasal Sinuses / Q000601:surgery
chemical_list: D000779:Anesthetics, Local; D003042:Cocaine