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http://dx.doi.org/10.12968/hmed.2009.70.2.38912DOI Listing

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Article Synopsis
  • - Cocaine use can lead to serious heart conditions such as heart attacks and cardiomyopathy, posing significant health risks and burdens on healthcare systems.
  • - Cardiac magnetic resonance (CMR) imaging is essential for identifying and assessing heart damage, allowing for the differentiation between acute and chronic injuries linked to cocaine use.
  • - Early detection through CMR can help reverse damage caused by cocaine, making it a crucial tool for better management of cocaine-related heart issues.
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Background/aim: This study reviews the literature to examine the proportion of patients requiring surgical management in ischemic colitis (IC) and identify surgical outcomes.

Method: A systematic review of PubMed, EMBASE, and Cochrane Central Register of Controlled Trials was conducted in accordance with the latest Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. English language studies and adult patients were included.

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The use of cocaine is associated with serious complications including coronary vasospasm and myocardial, renal, intestinal, and neurological ischemia. Among these feared complications lies limb ischemia which is a rare potential side effect of chronic cocaine use. We present the case of a 50-year-old female with an extensive history of cocaine use who developed ischemia in all four limbs.

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Cocaine-associated coronary artery disease and ST-segment elevation myocardial infarction (STEMI) have been well described in the literature. However, very few cases of cocaine-induced multivessel coronary artery disease have been reported. We report a very rare case of cocaine-associated triple vessel coronary artery disease in a 41-year-old male patient.

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Cocaine, one of most prevalent illicit substances in the United States, affects a multitude of organ systems and precedes numerous negative health outcomes. Many of the consequences of cocaine are linked to induction of vasoconstriction. For this reason, cocaine users are placed at considerable risk of ischemic stroke, myocardial infarction, and cardiac arrhythmias.

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