Síndrome coronario agudo por cocaína. Manejo inicial en el servicio de urgencias

Cocaine consumption, in some cases, provokes cardiac vasospasm, in both vessels with atheromatosis lesions visible in x-rays and apparently healthy coronary arteries. The greater the dosis or purity of the cocaine, the greater the vasospasm. The appearance of a deferred acute coronary syndrome (hours or days) following acute cocaine intoxication has also been described.