Key result
An invasive approach using cardiac catheterization and intracoronary thrombolysis was successfully used to manage a case of cocaine-associated acute myocardial infarction.
Why the study?
Does an invasive approach with cardiac catheterization and intracoronary thrombolysis improve management of cocaine-associated acute myocardial infarction compared to intravenous thrombolysis?
Case Report (n=1)
Does an invasive approach with cardiac catheterization and intracoronary thrombolysis improve management of cocaine-associated acute myocardial infarction compared to intravenous thrombolysis?
An invasive approach with cardiac catheterization and intracoronary thrombolysis may be advantageous over intravenous thrombolysis for managing cocaine-associated acute myocardial infarction.
May support invasive catheterization with intracoronary thrombolysis in cocaine-associated MI; leaves open comparative efficacy versus intravenous thrombolysis.
We describe a case of cocaine-associated acute myocardial infarction managed by cardiac catheterization and intracoronary thrombolysis. Based on this and other reported cases, it appears that an invasive approach to the management of cocaine-associated acute myocardial infarction is advantageous over intravenous thrombolysis. Such a strategy would define the pathophysiology of acute myocardial infarction in the setting of cocaine use and allow mechanical intervention should pharmacologic therapy be unsuccessful.
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Yao et al. (1997) conducted a case report in Cocaine-associated acute myocardial infarction (n=1). Cardiac catheterization and intracoronary thrombolysis vs. Intravenous thrombolysis was evaluated on Successful management of acute myocardial infarction. An invasive approach using cardiac catheterization and intracoronary thrombolysis was successfully used to manage a case of cocaine-associated acute myocardial infarction.
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