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      Medical complications of intravenous drug use

      Journal of General Internal Medicine

      Springer Nature

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          Medical complications of cocaine abuse.

           L Cregler,  H Mark (1986)
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            Acute cardiac events temporally related to cocaine abuse.

            The increasingly widespread use of cocaine in the United States has been accompanied and perhaps exacerbated by the misconception that the drug is not associated with serious medical complications. In particular, the potential for cocaine to precipitate life-threatening cardiac events needs to be reemphasized. We report the clinical and pathological findings in seven people in whom nonintravenous "recreational" use of cocaine was temporally related to acute myocardial infarction, ventricular tachycardia and fibrillation, myocarditis, sudden death, or a combination of these events. We also review data on 19 previously reported cases of cocaine-related cardiovascular disorders. Analysis of all 26 patients indicated the following findings: the cardiac consequences of cocaine abuse are not unique to parenteral use of the drug, since nearly all the patients took the drug intranasally; underlying heart disease is not a prerequisite for cocaine-related cardiac disorders; seizure activity, a well-documented noncardiac complication of cocaine abuse, is neither a prerequisite for, nor an accompanying feature of, cardiac toxicity of cocaine; and the cardiac consequences of cocaine are not limited to massive doses of the drug. Although the pathogenesis of cardiac toxicity of cocaine remains incompletely defined, available circumstantial evidence suggests that cocaine has medical consequences that are equal in importance to its well-documented psychosocial consequences.
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              The major medical complications of heroin addiction.

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                Author and article information

                Journal
                Journal of General Internal Medicine
                J Gen Intern Med
                Springer Nature
                0884-8734
                1525-1497
                May 1990
                May 1990
                : 5
                : 3
                : 249-257
                Article
                10.1007/BF02600544
                © 1990
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