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Successful intracoronary thrombolysis in cocaine-associated acute myocardial infarction

✍ Scribed by Yao, Siu-Sun ;Spindola-Franco, Hugo ;Menegus, Mark ;Greenberg, Mark ;Goldberger, Mark ;Shirani, Jamshid

Publisher: John Wiley and Sons
Year: 1997
Tongue: English
Weight: 512 KB
Volume: 42
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199711)42:3<294::aid-ccd15>3.0.co;2-m

No coin nor oath required. For personal study only.

✦ Synopsis

We describe a case of cocaine-associated acute myocardial infarction managed by cardiac catheterization and intracoronary thrombolysis. Based on this and other reported cases, it appears that an invasive approach to the management of cocaine-associated acute myocardial infarction is advantageous over intravenous thrombolysis. Such a strategy would define the pathophysiology of acute myocardial infarction in the setting of cocaine use and allow mechanical intervention should pharmacologic therapy be unsuccessful.

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