An angiographic and histologic study of cocaine-induced chest pain
Advanced Cardiac Life Support
Emergency Medical Services
Practice Guidelines as Topic
Chest pain is not an uncommon symptom in patients who abuse cocaine. A small number also develop acute myocardial infarction.1,2 Most, however, show electrocardiographic ST-segment or T-wave abnormalities as the only objective evidence of myocardial ischemia. Coronary artery spasm has been popularly invoked as the possible cause for chest pain.3,4 However, evidence for spasm is largely circumstantial at present. An alternative source of pain may be myocarditis,5 which has been demonstrated in some patients dying of cocaine abuse.6,7. © 1990.
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