Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2963896 | Journal of Cardiology Cases | 2015 | 4 Pages |
Abstract
Cocaine toxicity can result in myocardial infarction from coronary vasospasm. The current treatment algorithm includes intravenous and/or intracoronary vasodilator administration with an expectantly quick resolution of symptoms and signs of ischemia. However, in situations in which myocardial injury persists, the optimal management is uncertain. We present a case in which extracorporeal membrane oxygenation effectively stabilized a patient with ongoing hemodynamic instability who experienced repeated episodes of myocardial injury and ventricular tachyarrhythmias due to cocaine toxicity.
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Authors
Joshua C. Grimm, Keki R. Balsara, Clinton D. Kemp, Jared Miller, Mollie Myers, Steven P. Schulman, Christopher M. Sciortino,