Cocaine-Associated ST-Elevation Myocardial Infarction: Different Pathophysiological Mechanisms

There are many underlying mechanisms for cocaine-associated myocardial infarction, and the culprit must be elucidated for appropriate therapeutic management. Optical coherence tomography provides unique insights when angiography alone has limited diagnostic value; it also aids in the decision betwee...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2019-04, Vol.31 (4), p.E62-E63
Main Authors: López-Lluva, María T, Jurado-Román, A, Sánchez-Pérez, I, Abellán-Huerta, J, Ruiz-Poveda, Fernando Lozano
Format: Article
Language:English
Subjects:
Adult
Cocaine-Related Disorders - complications
Cocaine-Related Disorders - diagnosis
Coronary Angiography - methods
Coronary Vessels - diagnostic imaging
Drug-Eluting Stents
Electrocardiography - methods
Humans
Male
Myocardial Revascularization - instrumentation
Myocardial Revascularization - methods
Patient Selection
Shock - etiology
Shock - physiopathology
Shock - therapy
ST Elevation Myocardial Infarction - chemically induced
ST Elevation Myocardial Infarction - diagnosis
ST Elevation Myocardial Infarction - physiopathology
ST Elevation Myocardial Infarction - therapy
Substance Abuse Detection - methods
Thrombectomy - methods
Tomography, Optical Coherence - methods
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Summary:There are many underlying mechanisms for cocaine-associated myocardial infarction, and the culprit must be elucidated for appropriate therapeutic management. Optical coherence tomography provides unique insights when angiography alone has limited diagnostic value; it also aids in the decision between conservative management and revascularization strategy and guides coronary interventions.
ISSN:1557-2501