Cocaine-Associated ST-Elevation Myocardial Infarction: Different Pathophysiological Mechanisms

J Invasive Cardiol. 2019 Apr;31(4):E62-E63.

Abstract

There are many underlying mechanisms for cocaine-associated myocardial infarction, and the culprit must be elucidated for appropriate therapeutic management. Optical coherence tomography provides unique insights when angiography alone has limited diagnostic value; it also aids in the decision between conservative management and revascularization strategy and guides coronary interventions.

Keywords: angiography; cardiac imaging; cocaine-associated myocardial infarction; optical coherence tomography.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cocaine-Related Disorders / complications*
  • Cocaine-Related Disorders / diagnosis
  • Coronary Angiography / methods
  • Coronary Vessels / diagnostic imaging*
  • Drug-Eluting Stents
  • Electrocardiography / methods
  • Humans
  • Male
  • Myocardial Revascularization* / instrumentation
  • Myocardial Revascularization* / methods
  • Patient Selection
  • ST Elevation Myocardial Infarction* / chemically induced
  • ST Elevation Myocardial Infarction* / diagnosis
  • ST Elevation Myocardial Infarction* / physiopathology
  • ST Elevation Myocardial Infarction* / therapy
  • Shock / etiology
  • Shock / physiopathology
  • Shock / therapy
  • Substance Abuse Detection / methods
  • Thrombectomy / methods*
  • Tomography, Optical Coherence / methods*