Cohle S D, Lie J T
Department of Pathology, Blodgett Memorial Medical Center, Grand Rapids, MI 49506.
Arch Pathol Lab Med. 1992 Nov;116(11):1239-41.
Acute myocardial ischemia, cardiac arrhythmias, and conduction disturbances are the most common cardiovascular complications of cocaine and its alkaloidal freebase "crack." Cocaine abuse-related acute aortic dissection has been reported only rarely: three cases in the last 5 years. Described herein, to our knowledge, is the first case of cocaine intoxication-associated acute aortic dissection that also involved the coronary arteries, causing sudden death.
急性心肌缺血、心律失常及传导障碍是可卡因及其生物碱类游离碱“快克”最常见的心血管并发症。与可卡因滥用相关的急性主动脉夹层仅鲜有报道：过去5年中有3例。据我们所知，本文所描述的是首例与可卡因中毒相关的急性主动脉夹层，该夹层还累及冠状动脉，导致猝死。
