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[A 38 YEARS-OLD YOUNG MALE WITH CHEST PAIN AND ECG CHANGES].

Harefuah

December 2024

Internal Department C, Laniado Medical Center, Netanya, Israel, Adelson School of Medicine, Ariel University, Israel.

Coronary vasospasm is a well-known condition causing acute chest syndrome and can lead to myocardial infarction, ventricular arrhythmias, and even sudden cardiac death. While there are extensive case series showing the association of coronary vasospasm with drugs like cocaine, the association of marijuana with coronary vasospasm has not been reported frequently. When smoked, marijuana results in a rapid, dose-dependent tachycardia, an increase in blood pressure, and an increase in cardiac output.

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Article Synopsis
  • - Cocaine intoxication is a major global health issue, and this case study details the complications faced by a 30-year-old male whose use led to acute intoxication and serious health crises, including multiple organ failure.
  • - The patient displayed typical signs of cocaine use after a fall, which resulted in severe injuries; despite intensive treatment, he developed serious conditions like rhabdomyolysis and cardiac issues.
  • - This situation emphasizes the need for quick identification and aggressive treatment of cocaine intoxication, especially in patients showing altered mental status and unstable vital signs, as drug-related incidents are common in certain regions.
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Neurological and systemic effects of cocaine toxicity: A case report and review of the literature.

Med Int (Lond)

October 2024

Department of Critical Care Medicine, Cumming School of Medicine, Foothills Medical Centre, McCaig Tower, Calgary, AB T2N 5A1, Canada.

Article Synopsis
  • Cocaine, once used as a topical anesthetic and in various tonics, is now commonly abused and linked to serious health complications.
  • The case study focuses on a 23-year-old woman who experienced severe neurological and systemic issues after cocaine use, including coma and multiple organ dysfunction.
  • The study emphasizes the management of her condition, including stabilization, diagnostic strategies, and considerations for prognosis regarding disorders of consciousness.
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Background: Cannabis use has increased among young individuals in recent years. Although dependent cannabis use disorder (CUD) has been associated with various cardiac events, its effects on young adults without concurrent substance use remain understudied.

Aim: To examine trends in hospitalizations for major adverse cardiac and cerebrovascular events (MACCE) in this cohort.

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