Cocaine-associated myocardial infarction: should they all be stented?
Cocaine use is a known cause of chest pain and acute myocardial infarction and frequently leads to cardiac catheterization procedure. The treatment of cocaine-related acute coronary syndromes presents unique challenges because a variety of mechanisms including atherosclerotic plaque rupture, platelet activation, and coronary vasospasm may contribute to the pathogenesis. Our case highlights important considerations taken in dealing with this acute scenario.
Department of Cardiology, Cork University Hospital, Cork, Ireland.
Sazzli
S
Kasim
Department of Cardiology, Cork University Hospital, Cork, Ireland.
Ronan
R
O'Donabhain
Department of Cardiology, Cork University Hospital, Cork, Ireland.
Eugene
E
Mcfadden