Williams M J, Stewart R A
Department of Medicine, University of Otago, Dunedin, New Zealand.
Chest. 1997 Mar;111(3):822-4. doi: 10.1378/chest.111.3.822.
A young man suffered an acute inferior myocardial infarction following clinical use of cocaine as topical anesthesia. Coronary angiography showed occlusion of both the posterior descending and posterolateral arteries which was resistant to intracoronary administration of nitroglycerin and verapamil, a finding consistent with thrombotic occlusion. A subsequent angiogram 3 months later showed no residual lesions.
一名年轻男子在临床使用可卡因作为局部麻醉剂后发生急性下壁心肌梗死。冠状动脉造影显示后降支动脉和后外侧动脉均闭塞，对冠状动脉内给予硝酸甘油和维拉帕米无反应，这一发现与血栓性闭塞一致。3个月后的后续血管造影显示无残留病变。
