Concurrent myocardial and cerebral infarctions after intranasal cocaine use
| Autor: | T A Mattioni, Michael A. Sloan |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male Myocardial Infarction Cardiomyopathy Ventricular tachycardia Chest pain Heroin Cocaine medicine Humans cardiovascular diseases Myocardial infarction Stroke Administration Intranasal Advanced and Specialized Nursing business.industry Cerebral infarction Atrial fibrillation Cerebral Infarction medicine.disease Cold Temperature Jogging Anesthesia cardiovascular system Neurology (clinical) medicine.symptom Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Stroke. 23:427-430 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/01.str.23.3.427 |
| Popis: | Cardiac and cerebrovascular complications associated with cocaine abuse have increasingly been reported, but concurrent development of cocaine-induced cardiac disease and stroke has rarely been reported. A 37-year-old man with a remote history of intravenous heroin and amphetamine use, cardiomyopathy, and recent cocaine use developed chest pain and ventricular tachycardia 30 minutes after intranasal cocaine hydrochloride use and jogging on a cold winter morning. Ventricular tachycardia was converted to atrial fibrillation. He was proven to have a small myocardial infarction. Within 6 hours of cocaine use he suffered a left hemisphere stroke. Cardiac electrophysiologic evaluation revealed inducible ventricular tachycardia. To our knowledge, this is the first report of concurrent myocardial infarction, life-threatening ventricular arrhythmias, and cerebral infarction temporally related to cocaine use. It is probable that one mechanism by which cocaine use causes stroke is to trigger expression of a known cardiac source of embolism. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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