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Successful intracoronary thrombolysis in cocaine-associated acute myocardial infarction
S S Yao1, H Spindola-Franco, M Menegus
1Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
Catheterization and Cardiovascular Diagnosis
|November 21, 1997
Abstract:
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.