A 34-year-old African American man came to the emergency department (ED) complaining of chest pressure and shortness of breath, 2 hours in duration. He admitted to smoking cocaine for the first time 2 days ago and inhaling 1 g at a party 1 hour before the onset of symptoms. The patient had been in good health, did not smoke cigarettes or drink alcoholic beverages, and ran 5 miles daily. There was no family history of heart disease. On physical examination, he was agitated, blood pressure 180/100 mm Hg, heart rate 130/min and regular; there was an S4, S1, and S2, no murmurs were heard. Findings on chest radiographs were normal, and the electrocardiogram (ECG) revealed cove-plane T waves in V2-V6 (Figure 1). The level of the first set of cardiac enzymes (the troponins) was elevated. The patient was admitted to...
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Cardiology Casebook| November 01 2003
The Cocaine-Abused Heart
Kathryn Buchanan Keller, RN, PhD;
Kathryn Buchanan Keller, RN, PhD
The Division of Cardiology, Department of Medicine, University of Miami School of Medicine, Miami, Fla (LL) and Florida Atlantic University Christine E. Lynn College of Nursing, Boca Raton, Fla (KBK).
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Louis Lemberg, MD
Am J Crit Care (2003) 12 (6): 562–566.
Kathryn Buchanan Keller, Louis Lemberg; The Cocaine-Abused Heart. Am J Crit Care 1 November 2003; 12 (6): 562–566. doi: https://doi.org/10.4037/ajcc2003.12.6.562
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