title: Cocaine use and delayed myocardial ischaemia and/or infarction.
abstract: A 37-year-old woman was admitted into the coronary care unit following chest pain after using cocaine. She was found to have significant myocardial ischaemia on blood and ECG investigations despite a recent coronary angiogram that had not demonstrated flow-limiting coronary disease. This case report summarises the risks of myocardial ischaemia and/or infarction for patients taking cocaine and the pathophysiology behind it, focusing in particular on the risks of delayed reaction some time after cocaine ingestion.
authors.affiliation: University Hospitals Leicester, Leicester, UK.
authors.forename: Kee Wei
authors.initials: KW
authors.lastname: Phang
authors.affiliation: University Hospitals Leicester, Leicester, UK.
authors.forename: Alice
authors.initials: A
authors.lastname: Wood
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications*; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007238:Infarction / Q000139:chemically induced; D009203:Myocardial Infarction / Q000139:chemically induced / Q000175:diagnosis; D017202:Myocardial Ischemia / Q000139:chemically induced* / Q000175:diagnosis; D014662:Vasoconstrictor Agents / Q000009:adverse effects
chemical_list: D014662:Vasoconstrictor Agents; D003042:Cocaine