Aortic Dissection and Cocaine Abuse
Authors: JAMES EDWARDS
Journal: Annals of Internal Medicine (1987)

Letters and Corrections1 November 1987Aortic Dissection and Cocaine AbuseJAMES EDWARDS, M.D., RONALD N. RUBIN, M.D.JAMES EDWARDS, M.D.Search for more papers by this author, RONALD N. RUBIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-5-779_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: We read with interest the report by Smith and coworkers (1) associating acute myocardial infarction with cocaine use. Several recent reports have associated cocaine use with acute cardiac morbidity and mortality (2, 3), specifically myocardial infarction and ischemia. We recently saw acute dissecting aneurysm of the aorta related to cocaine use.A 41-year-old man had sharp, unrelenting low back pain radiating into the left leg, associated with numbness and coolness in the leg. The pain began 30 minutes after nasal inhalation of 0.5 g of cocaine. The patient had both inhaled and smoked cocaine several times the...References1. SMITH H, LIEBERMAN H, BRODY S, BATTEY L, DONOHUE B, and MORRIS D. Acute myocardial infarction temporally related to cocaine use: clinical, angiographic, and pathophysiologic observations. Ann Intern Med. 1987;107:13-8. LinkGoogle Scholar2. ISNER J, ESTES N, and THOMPSON P. Acute cardiac events temporally related to cocaine abuse. N Engl J Med. 1986;315:1438-43. CrossrefMedlineGoogle Scholar3. RING M and BUTMAN S. Cocaine and premature myocardial infarction. Drug Ther. 1986;September:117-25. Google Scholar4. RITCHIE J and GREEN N. Local anesthetics. In: Gilman A, Goodman LS, eds. The Pharmacologic Basis of Therapeutics. 7th ed. New York: Macmillan; 1985:309. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JAMES EDWARDS, M.D.; RONALD N. RUBIN, M.D.Affiliations: Temple University School of Medicine Philadelphia, PA 19140 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRisk Factors for Thoracic Aortic DissectionCocaine and coronary artery diseasesCocaine and aortic dissectionCocaïneCocaine Induces Apoptosis in Primary Cultured Rat Aortic Vascular Smooth Muscle Cells: Possible Relationship to Aortic Dissection, Atherosclerosis, and HypertensionThoracic aortic dissection associated with cocaine abuseCocainePathophysiology of cocaine abuseEffects of cocaine on the coronary arteriesCOCAINE USE AND ACUTE MYOCARDIAL INFARCTIONPercutaneous transluminal coronary angioplasty and stenting for cocaine-induced acute myocardial infarction: A case report and reviewCocaine: Pathophysiology and clinical toxicologyEVALUATION OF PATIENTS WITH CHEST PAIN AFTER COCAINE USEThoracic aortic dissection secondary to crack cocaine ingestionCocaine-induced aortic dissectionImmediate Effects of Intravenous Cocaine on the Thoracic Aorta and Coronary ArteriesChronic type A aortic dissection: An unusual complication of cocaine inhalationManagement of cocaine-induced cardiovascular complicationsCocaine-associated dissection of the thoracic aortaUse of tetracaine, epinephrine, and cocaine as a topical anesthetic in the emergency departmentFrequency of coronary artery disease and left ventricular dysfunction in cocaine usersCardiovascular Complications of CocaineTransesophageal echocardiographic diagnosis of acute aortic dissection complicating cocaine abuseThe cardiovascular effects of cocaineCocaine-induced heart diseases 1 November 1987Volume 107, Issue 5Page: 779-780KeywordsAcute myocardial infarctionAneurysmsAortaCocaineInhalationIschemiaLower back painMorbidityMortalityMyocardial infarction ePublished: 1 December 2008 Issue Published: 1 November 1987 PDF downloadLoading ...