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Revista argentina de cardiología

On-line version ISSN 1850-3748


PEREZ BAZTARRICA, Gabriel et al. Dissection of the Coronary Arteries Associated with Cocaine Abuse. Rev. argent. cardiol. [online]. 2008, vol.76, n.5, pp.399-402. ISSN 1850-3748.

The spontaneous dissection of the coronary arteries is extremely rare and scarcely documented in the worldwide bibliography. Cocaine addiction is one of causes of the disease in young patients. The present case report deals with a patient with a myocardial infarction that was referred to our center to undergo a coronary angiography and angioplasty, who had a history of recent cocaine abuse. The coronary angiography showed a spontaneous dissection of the left anterior descending artery with a TIMI III coronary flow. Based on the clinical characteristics of the patient, we decided to start medical therapy with aspirin, clopidogrel, low-molecular-weight heparin and nitrites, among others. A coronary angiography performed 7 days after demonstrated absence of the dissection.

Keywords : Coronary Vessels; Dissection; Cocaine.

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