Unauthorized
Amin et alThe Cocaine-Associated Myocardial Infarction study retrospectively identified 130 patients who sustained a total of 136 cocaine-associated MI events. In a patient with definite ACS, these signs need to be addressed. data are postmortem findings and, in a select group, electrocardiographic changes in moni-tored patients or clinical follow-up in people resuscitated from sudden death. In addition to aspirin, clopidogrel should be given for at least 1 month to patients who undergo percutaneous coronary intervention with bare metal stents and for at least 1 year for those treated with drug-eluting stents.As noted above, β-adrenergic antagonists should not be administered acutely in patients with cocaine-associated chest pain and/or MI because of concerns about provoking or exacerbating coronary spasm. The article was reviewed by 4 outside reviewers nominated by the AHA.Cocaine is the second most commonly used illicit drug in the United States, with only marijuana being abused more frequently.In 2005, there were 448 481 cocaine-related visits to EDs in the United States.Cocaine has multiple cardiovascular and hematologic effects that likely contribute to the development of myocardial ischemia and/or MI. >> /ZaDb 13 0 R
It’s called “juice jacking,” which is accomplished by installing a skimming device inside the USB ports at public charging stations. /Metadata 5 0 R These recommendations, which are supported by systematic reviews of the literature as well as assessments of the benefits and harms of the presented options, are developed through an assiduous interactive process among a dedicated panel of experts . /DA (/Helv 0 Tf 0 g ) /Type /Pages Literature citations were generally limited to published articles listed in Index Medicus. /Type /Catalog Pretreatment of cocaine-intoxicated animals with calcium channel blockers has had variable results with respect to survival, seizures, and cardiac dysrhythmias.There are anecdotal reports about the safety and efficacy of phentolamine, an α-antagonist, for the treatment of cocaine-associated ACS.Cocaine injures the vascular endothelium, increases platelet aggregation, and impairs normal fibrinolytic pathways.The treatment of ventricular arrhythmias depends on the time interval between cocaine use, arrhythmia onset, and treatment.
In most cases, a bare metal stent would be preferable.
1 0 obj
2) Get A High Quality VPN.
/Count 191 LS-1603). /PageLabels 7 0 R endobj /Pages 3 0 R These arrhythmias may respond to the administration of sodium bicarbonate, similar to arrhythmias associated with other type IA and type IC agents.Cessation of cocaine use should be the primary goal of secondary prevention. 1.
>>
Watch on Demand
Instructions for obtaining permission are located at http://www.americanheart.org/presenter.jhtml? The American Heart Association is qualified 501(c)(3) tax-exempt stream TODAY national investigative correspondent Jeff Rossen reports.
/Type /Metadata /Kids [8 0 R 9 0 R 10 0 R 11 0 R] When sedation is not successful, hypertension can be managed with sodium nitroprusside, nitroglycerin, or intravenous phentolamine.Timely percutaneous coronary intervention by experienced operators in high-volume centers is preferred over fibrinolytics in ST-segment–elevation MI and is even more desirable in the setting of cocaine use.No data are available regarding the use of drug-eluting stents in patients who abuse cocaine, but they would be expected to decrease in-stent restenosis as compared with bare metal stents as in patients who do not use cocaine.
/DR << Hackers have figured out a way to hide malware that can be used to extract information from phones connected to those chargers, experts say. When confronted with patients with no or few risk factors for coronary artery disease presenting with MI, especially those who are young or have a history of illicit drug use, however, measuring cocaine urine metabolites may be prudent. /Creator (PageMaker 7.0) A Scientific Statement From the American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology© American Heart Association, Inc. All rights reserved.
The prospective Acute Cardiac Ischemia-Time Insensitive Predictive Instrument (ACI-TIPI) study reported a 0.7% rate of MI among 293 patients with preceding cocaine ingestion who presented to the ED with chest pain or other ischemic symptomsCardiopulmonary complaints are the most frequently reported symptoms among cocaine users (occurring in up to 56%), with chest pain being the single most frequent symptom.Cocaine-associated chest pain may be caused by not only MI but also by aortic dissection, and this must be considered in the differential diagnosis. “Never, ever, ever use public chargers.” If you're in a pinch and need a charge, there’s a device you can buy for under $10 called a “data blocker” that protects you at public ports.