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因吸食可卡因导致冠状动脉夹层,命悬一线:一则病例报告

A 'sniff' away from death: a case of cocaine-induced coronary artery dissection.

作者信息

Merinopoulos Ioannis, Bloore David, Read Philip

机构信息

Department of Cardiology, The Ipswich hospital, Heath road, Ipswich,UK.

出版信息

Oxf Med Case Reports. 2017 Oct 26;2017(10):omx058. doi: 10.1093/omcr/omx058. eCollection 2017 Oct.

DOI:10.1093/omcr/omx058
PMID:29670746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5903405/
Abstract

The multiple, deleterious cardiovascular effects of cocaine abuse are well known. Recent data have shown that cocaine abuse in the UK remains high with an upward trend over the last few years and a significant associated mortality/morbidity. Cocaine-induced coronary artery dissection (CAD) is one of the rare totally preventable manifestations of cocaine abuse. With this case report, we aim to contribute to the limited number of cocaine-induced CAD described in literature and increase public awareness in an attempt to reverse the upward trend of cocaine abuse.

摘要

可卡因滥用对心血管系统造成的多种有害影响是众所周知的。最近的数据表明,英国的可卡因滥用情况仍然严重,在过去几年呈上升趋势,且伴有显著的相关死亡率/发病率。可卡因诱发的冠状动脉夹层(CAD)是可卡因滥用中罕见的完全可预防的表现之一。通过本病例报告,我们旨在为文献中描述的可卡因诱发CAD的有限案例做出贡献,并提高公众意识,以试图扭转可卡因滥用的上升趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/5716408fd64e/omx058f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/fddcb1107c2f/omx058f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/0fdd0987cbf3/omx058f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/399921a91ebb/omx058f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/a2d1403fe8db/omx058f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/5716408fd64e/omx058f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/fddcb1107c2f/omx058f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/0fdd0987cbf3/omx058f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/399921a91ebb/omx058f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/a2d1403fe8db/omx058f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ce6/5903405/5716408fd64e/omx058f05.jpg

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本文引用的文献

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Complete Angiographic Resolution of Cocaine Induced Coronary Artery Dissection within Eight Days without Coronary Stenting--A Case Report.可卡因诱发的冠状动脉夹层在八天内完全血管造影消退且未行冠状动脉支架置入术——病例报告
Heart Lung Circ. 2016 Feb;25(2):e24-8. doi: 10.1016/j.hlc.2015.06.829. Epub 2015 Jul 15.
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Spontaneous coronary artery dissection-A review.自发性冠状动脉夹层:综述。
Cardiovasc Diagn Ther. 2015 Feb;5(1):37-48. doi: 10.3978/j.issn.2223-3652.2015.01.08.
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Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes.
自发性冠状动脉夹层:与易患动脉疾病和诱发压力因素的关联以及心血管结局。
Circ Cardiovasc Interv. 2014 Oct;7(5):645-55. doi: 10.1161/CIRCINTERVENTIONS.114.001760. Epub 2014 Oct 7.
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Acute coronary syndrome after levamisole-adultered cocaine abuse.左旋咪唑掺杂可卡因滥用后发生的急性冠状动脉综合征
J Forensic Leg Med. 2014 Jan;21:48-52. doi: 10.1016/j.jflm.2013.10.015. Epub 2013 Nov 5.
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Cocaine-induced postpartum coronary artery dissection: a case report and 80-year review of literature.可卡因诱发的产后冠状动脉夹层:一例报告及80年文献回顾
J Invasive Cardiol. 2013 Aug;25(8):E163-6.
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Circulation. 2012 Jul 31;126(5):579-88. doi: 10.1161/CIRCULATIONAHA.112.105718. Epub 2012 Jul 16.
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Cardiovascular effects of cocaine.可卡因对心血管系统的影响。
Circulation. 2010 Dec 14;122(24):2558-69. doi: 10.1161/CIRCULATIONAHA.110.940569.
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Cocaine-induced coronary artery dissection.可卡因诱发的冠状动脉夹层。
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Spontaneous acute coronary dissection after cocaine abuse in a young woman.一名年轻女性在滥用可卡因后发生自发性急性冠状动脉夹层。
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Cardiovasc Pathol. 2001 May-Jun;10(3):141-5. doi: 10.1016/s1054-8807(01)00074-6.