open access

Vol 17, No 5 (2010)
Case Reports
Published online: 2010-09-23
Get Citation

Recurrent ventricular arrhythmias and myocardial infarctions associated with cocaine induced reversible coronary vasospasm

Aytul Belgi Yildirim, Ibrahim Basarici, Murathan Kucuk
Cardiol J 2010;17(5):512-517.

open access

Vol 17, No 5 (2010)
Case Reports
Published online: 2010-09-23

Abstract

Cocaine has become the most frequently used illicit drug among patients presenting to emergency departments worldwide. Although acute myocardial infarction is the most common reported cardiovascular manifestation in this setting, there are many other potential cardiotoxic effects of cocaine use including coronary artery spasm, arrhythmia, and sudden death. We report the case of a 54 year-old male with angiographically documented reversible coronary arterial spasm leading to severe life-threatening recurrent ventricular arrhythmias and electrocardiographic changes suggesting acute myocardial infarction secondary to cocaine use. Recurrent ventricular arrhythmias of this patient required implantation of a cardioverter-defibrillator which successfully treated following arrhythmia episodes. (Cardiol J 2010; 17, 5: 512-517)

Abstract

Cocaine has become the most frequently used illicit drug among patients presenting to emergency departments worldwide. Although acute myocardial infarction is the most common reported cardiovascular manifestation in this setting, there are many other potential cardiotoxic effects of cocaine use including coronary artery spasm, arrhythmia, and sudden death. We report the case of a 54 year-old male with angiographically documented reversible coronary arterial spasm leading to severe life-threatening recurrent ventricular arrhythmias and electrocardiographic changes suggesting acute myocardial infarction secondary to cocaine use. Recurrent ventricular arrhythmias of this patient required implantation of a cardioverter-defibrillator which successfully treated following arrhythmia episodes. (Cardiol J 2010; 17, 5: 512-517)
Get Citation

Keywords

cocaine; arrhythmias; vasospasm; myocardial infarction; cardioverter-defibrillator

About this article
Title

Recurrent ventricular arrhythmias and myocardial infarctions associated with cocaine induced reversible coronary vasospasm

Journal

Cardiology Journal

Issue

Vol 17, No 5 (2010)

Pages

512-517

Published online

2010-09-23

Bibliographic record

Cardiol J 2010;17(5):512-517.

Keywords

cocaine
arrhythmias
vasospasm
myocardial infarction
cardioverter-defibrillator

Authors

Aytul Belgi Yildirim
Ibrahim Basarici
Murathan Kucuk

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl