Cocaine-induced myocardial injury
Key result
A 37-year-old male developed ST-elevation myocardial infarction with non-obstructive coronary arteries following cocaine inhalation.
Why the study?
Does cocaine use cause myocardial infarction in young patients presenting with acute chest pain?
Population
A 37-year-old male with acute chest pain and ST-elevation myocardial infarction after cocaine use
Design
Case report
Authors
Discussion
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Member takes
Implication
Raises awareness for cocaine in young MINOCA presentations; leaves open mechanisms, incidence, and management strategies.
Study Design
Type
Case Report (n=1)
Structured PICO
Does cocaine use cause myocardial infarction in young patients presenting with acute chest pain?
P
Population
A 37-year-old male presenting with acute chest pain and ST-elevation myocardial infarction following recent cocaine use.
E
Exposure
Cocaine use
O
Outcome
Myocardial infarctionhard clinical
Highlights the importance of screening for cocaine use in young patients presenting to the emergency department with acute chest pain and myocardial infarction.
Limitations
- Diagnosis by patient history alone is difficult due to unwillingness to admit cocaine use
- ECG has poor sensitivity and positive predictive value for diagnosing cocaine-induced myocardial infarction
Cite This Study
Badarienė et al. (2019) conducted a case report in Cocaine-induced myocardial injury (n=1). Cocaine was evaluated on Myocardial infarction. A 37-year-old male developed ST-elevation myocardial infarction with non-obstructive coronary arteries following cocaine inhalation.