Cocaine-associated myocardial infarction: should they all be stented?
Sazzli Kasim, Ronan O'Donabhain, Eugene Mcfadden, Sazzli Kasim, Ronan O'Donabhain, Eugene Mcfadden
Abstract
Cocaine use is a known cause of chest pain and acute myocardial infarction and frequently leads to cardiac catheterization procedure. The treatment of cocaine-related acute coronary syndromes presents unique challenges because a variety of mechanisms including atherosclerotic plaque rupture, platelet activation, and coronary vasospasm may contribute to the pathogenesis. Our case highlights important considerations taken in dealing with this acute scenario.
Figures
Right anterior oblique with caudal angulation showing the left main coronary artery full of thrombus (arrow), circumflex, and left anterior descending artery.
Similar projections showing resolution of thrombus with normal underlying coronary arteries.
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Source: PubMed