Cardiac complications of cocaine abuse.

Annu Rev Med · 1991

Level V

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Abstract

Cocaine abuse is now firmly associated with several cardiac complications. Acute myocardial infarction is the best documented of these complications and appears to result from cocaine-induced coronary arterial spasm. Myocarditis and/or cardiomyopathy have also been reported in a smaller number of patients. Finally, life-threatening cardiac arrhythmias may also result from cocaine abuse.