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‘Cocaine chest pain’ 

‘Cocaine chest pain’
‘Cocaine chest pain’

Gavin Wilson

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date: 19 January 2022

This chapter provides a discussion of the increasingly common challenge facing the emergency physician dealing with a patient presenting with cocaine-induced chest pain. It examines the clinical presentations, the ECG changes, and the immediate treatment strategies available in the emergency department. It outlines the key similarities and differences in the management of cocaine and no- drug-induced chest pains.

It examines the evidence base for three key clinical questions: examining the best initial treatment modality comparing GTN and benzodiazepines; considering the role of beta blockers in the treatment strategy; and discussing if whether all self-limiting drug-induced chest pain requires admission and follow-up.

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