Title : Is cocaine use recognised as a risk factor for acute coronary syndrome by doctors in the UK?

Pub. Date : 2007 May

PMID : 17488862






5 Functional Relationships(s)
Download
Sentence
Compound Name
Protein Name
Organism
1 BACKGROUND: Cocaine is a sympathomimetic agent that can cause coronary artery vasospasm leading to myocardial ischaemia, acute coronary syndrome and acute myocardial infarction (ACS/AMI). Cocaine 1-aminocyclopropane-1-carboxylate synthase homolog (inactive) Homo sapiens
2 The management of cocaine-induced ACS/AMI is different to classical atheromatous ACS/MI, because the mechanisms are different. Cocaine 1-aminocyclopropane-1-carboxylate synthase homolog (inactive) Homo sapiens
3 Retrospective study--Cocaine use or non-use was documented in 3.7% (4/109) and 4% (2/50) of clinical notes of patients with suspected and proven ACS, respectively. Cocaine 1-aminocyclopropane-1-carboxylate synthase homolog (inactive) Homo sapiens
4 DISCUSSION: Although junior medical staff are aware that cocaine is a risk factor for ACS/AMI, they are less likely to ask about it in routine clinical practice or record its use/non-use in clinical notes. Cocaine 1-aminocyclopropane-1-carboxylate synthase homolog (inactive) Homo sapiens
5 It is essential that patients presenting with suspected ACS are asked about cocaine use, since the management of these patients is different to those with ACS secondary to "classical" cardiovascular risk factors. Cocaine 1-aminocyclopropane-1-carboxylate synthase homolog (inactive) Homo sapiens