An angiographic and histologic study of cocaine-induced chest pain Academic Article Article uri icon


MeSH Major

  • Advanced Cardiac Life Support
  • Cardiopulmonary Resuscitation
  • Consensus
  • Emergency Medical Services
  • Heart Arrest
  • 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.

publication date

  • March 15, 1990



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1016/0002-9149(90)91396-N

PubMed ID

  • 2316468

Additional Document Info

start page

  • 812

end page

  • 4


  • 65


  • 11