Cocaine-associated ST-Elevation Myocardial Infarction
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Credit/contact hours: 0.5
Estimated time to complete: 30 minutes
Publication Date: December 6, 2018
Expiration date: December 6, 2021
Acute ST-Elevation Myocardial Infarction (STEMI) is a common presentation but can occur in many complex clinical situations. In this case, a patient presents with severe chest and back pain, unequal pulses in the arms, diminished lower extremity pulses, and an ECG showing acute STEMI presumably involving the right coronary artery. There is a history of cocaine use. The challenges of managing such a patient are discussed and reviewed in this case.
You Will Learn
- To recognize the co-existing complexities in a patient presenting with ST-elevation myocardial infarction
- To coordinate a plan for the exclusion of aortic dissection in the setting of STEMI
- To identify appropriate management of coronary thrombosis and coronary occlusion in the setting of cocaine-induced STEMI