Percutaneous transluminal coronary angioplasty and stenting for cocaine-induced acute myocardial infarction: a case report and review

Catheter Cardiovasc Interv. 2000 Apr;49(4):447-51. doi: 10.1002/(sici)1522-726x(200004)49:4<447::aid-ccd22>3.0.co;2-j.

Abstract

Cocaine-induced myocardial infarction has been well reported. Likewise, there are numerous reports of patients with cocaine-induced myocardial infarction being treated conservatively with nitroglycerin, verapamil, and thrombolytics. However, based on a Medline search from 1977 to 1998 (with the keywords cocaine and angioplasty), there have been no reports in English of cocaine-induced myocardial infarction being treated with catheter-based intervention. We report such a case, as well as review what is known about the pathophysiology of cocaine-induced coronary arteriopathy and myocardial infarction.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary*
  • Cocaine / adverse effects*
  • Coronary Angiography
  • Electrocardiography / drug effects
  • Humans
  • Male
  • Myocardial Infarction / chemically induced*
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / therapy
  • Stents*
  • Treatment Outcome
  • Vasoconstrictor Agents / adverse effects*

Substances

  • Vasoconstrictor Agents
  • Cocaine