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Case Reports
. 1997 Nov;42(3):294-7.
doi: 10.1002/(sici)1097-0304(199711)42:3<294::aid-ccd15>3.0.co;2-m.

Successful intracoronary thrombolysis in cocaine-associated acute myocardial infarction

S S Yao  1 , H Spindola-Franco, M Menegus, M Greenberg, M Goldberger, J Shirani
Affiliations
Case Reports

Successful intracoronary thrombolysis in cocaine-associated acute myocardial infarction

S S Yao et al. Cathet Cardiovasc Diagn. 1997 Nov.

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.

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