Last Updated on by frcemuser

  • Cocaine is associated with ischaemic chest pain, even in the young
  • This is multifactorial, coronary vasospasm, accelerated atherosclerosis, increased platelet adhesion, increased cardiac oxygen demand.
  • Diazepam reduces agitation, heart rate and oxygen demand
  • Nitrates reduce spasm
  • Give aspirin as usual
  • Treat STEMI or NSTEMI in the usual way
  • Thrombolysis may be associated with stroke
  • Avoid beta-blockers

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