可卡因使用与延迟性心肌缺血和/或梗死。
Cocaine use and delayed myocardial ischaemia and/or infarction.
作者信息
Phang Kee Wei, Wood Alice
机构信息
University Hospitals Leicester, Leicester, UK.
出版信息
BMJ Case Rep. 2014 Sep 8;2014:bcr2014204599. doi: 10.1136/bcr-2014-204599.
Abstract
A 37-year-old woman was admitted into the coronary care unit following chest pain after using cocaine. She was found to have significant myocardial ischaemia on blood and ECG investigations despite a recent coronary angiogram that had not demonstrated flow-limiting coronary disease. This case report summarises the risks of myocardial ischaemia and/or infarction for patients taking cocaine and the pathophysiology behind it, focusing in particular on the risks of delayed reaction some time after cocaine ingestion.
摘要
一名37岁女性在使用可卡因后出现胸痛，随后被收入冠心病监护病房。尽管近期冠状动脉造影未显示有血流受限的冠状动脉疾病，但血液检查和心电图检查发现她存在明显的心肌缺血。本病例报告总结了服用可卡因患者发生心肌缺血和/或梗死的风险及其背后的病理生理学，尤其关注可卡因摄入一段时间后出现延迟反应的风险。
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