کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2999620 | 1180295 | 2011 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Rethinking Cocaine-Associated Chest Pain and Acute Coronary Syndromes
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کلمات کلیدی
CCBSBPTIMIDBPCCPACSAHASTEMIPCIMyocardial infarction - آنفارکتوس میوکاردElectrocardiography - الکتروکاردیوگرافی یا قلبنگاریECG - الکتروکاردیوگرام یا نوار قلبAmerican Heart Association - انجمن قلب آمریکاST-segment elevation myocardial infarction - انفارکتوس میوکارد بالایی قسمت STemergency department - بخش اورژانسThrombolysis In Myocardial Infarction - ترومبولیزیس در انفارکتوس میوکاردAcute coronary syndrome - سندرم کرونری حادHeart rate - ضربان قلبdiastolic blood pressure - فشار خون دیاستولیکsystolic blood pressure - فشار خون سیستولیکmean arterial pressure - فشار متوسط شریانیpercutaneous coronary intervention - مداخله کرونری از راه پوستCalcium channel blockers - مسدود کننده های کانال کلسیمmap - نقشه
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
Every year more than 500,000 patients present to the emergency department with cocaine-associated complications, most commonly chest pain. Many of these patients undergo extensive work-up and treatment. Much of the evidence regarding cocaine's cardiovascular effects, as well as the current management of cocaine-associated chest pain and acute coronary syndromes, is anecdotally derived and based on studies written more than 2 decades ago that involved only a few patients. Newer studies have brought into question many of the commonly held theories and practices regarding the etiology, diagnosis, and treatment of this common clinical scenario. However, there continues to be a paucity of prospective, randomized trials addressing this topic as it relates to clinical outcomes. We searched PubMed for English-language articles from 1960 to 2011 using the keywords cocaine, chest pain, coronary arteries, myocardial infarction, emergency department, cardiac biomarkers, electrocardiogram, coronary computed tomography, observation unit, β-blockers, benzodiazepines, nitroglycerin, calcium channel blockers, phentolamine, and cardiomyopathy; including various combinations of these terms. We reviewed the abstracts to confirm relevance, and then full articles were extracted. References from extracted articles were also reviewed for relevant articles. In this review, we critically evaluate the limited historical evidence underlying the current teachings on cocaine's cardiovascular effects and management of cocaine-associated chest pain. We aim to update the reader on more recent, albeit small, studies on the emergency department evaluation and clinical and pharmacologic management of cocaine-associated chest pain. Finally, we summarize recent guidelines and review an algorithm based on the current best evidence.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 86, Issue 12, December 2011, Pages 1198-1207
Journal: Mayo Clinic Proceedings - Volume 86, Issue 12, December 2011, Pages 1198-1207
نویسندگان
Jonathan B. MD, Gregary D. MD,