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Acetylcholine Re-Challenge After Intracoronary Nitroglycerine Administration
Published on: April 4, 2022
Phentolamine therapy for cocaine-association acute coronary syndrome (CAACS)
Gar Ming Chan1, Rahul Sharma, Dennis Price
1Department of Emergency Medicine, North Shore University Hospital, New York University School of Medicine, 300 Community Drive, Manhasset, NY 10030, USA. garchan@pol.net
Introduction:
The emergency department (ED) evaluation of cocaine-associated acute coronary syndrome (CAACS) is often a diagnostic and therapeutic challenge.
Case Report:
We are reporting on the treatment of a patient with cocaine-associated acute coronary syndrome (CAACS) who did not benefit from standard therapy, but who eventually responded positively to phentolamine, an alpha-adrenergic receptor antagonist.
Discussion:
This report should encourage physicians to add phentolamine to their pharmacotherapeutic armamentarium in the treatment of CAACS.
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