Successful intracoronary thrombolysis in cocaine-associated acute myocardial infarction.

作者信息

Yao S S, Spindola-Franco H, Menegus M, Greenberg M, Goldberger M, Shirani J

机构信息

Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.

出版信息

Cathet Cardiovasc Diagn. 1997 Nov;42(3):294-7. doi: 10.1002/(sici)1097-0304(199711)42:3<294::aid-ccd15>3.0.co;2-m.

We describe a case of cocaine-associated acute myocardial infarction managed by cardiac catheterization and intracoronary thrombolysis. Based on this and other reported cases, it appears that an invasive approach to the management of cocaine-associated acute myocardial infarction is advantageous over intravenous thrombolysis. Such a strategy would define the pathophysiology of acute myocardial infarction in the setting of cocaine use and allow mechanical intervention should pharmacologic therapy be unsuccessful.