Cocaine: the newest risk factor for cardiovascular disease.

Abstract:

:Cocaine-related cardiovascular events escalated during the 1980s as cocaine became purer, cheaper, and easier to obtain. Cocaine abuse is a risk factor for myocardial ischemia and/or infarction, cardiac arrhythmias, pulmonary edema, ruptured aortic aneurysm, cerebral infarction, infective endocarditis, vascular thrombosis, myocarditis, and dilated cardiomyopathy. As medical and social complications of cocaine have become evident, and with the growing negative image of cocaine, the number of first-time users has begun to decline. Cocaine abuse is seen on all levels of our society and has emerged as an issue of significant medical and public health importance. All routes and forms of cocaine abuse are potentially cardiotoxic and can be lethal. Fatal cardiac complications can occur in a first-time user. All physicians should be alert for cocaine abuse when confronted with unexplained cardiac symptoms. Cocaine is the newest and sometimes unrecognized risk factor for cardiovascular disease in young individuals otherwise free of cardiovascular risk factors.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Cregler LL

doi

10.1002/clc.4960140626

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

449-56

issue

6

eissn

0160-9289

issn

1932-8737

journal_volume

14

pub_type

杂志文章,评审
  • Relation of transesophageal echocardiographic findings to subtypes of cerebral infarction in patients with atrial fibrillation.

    abstract:BACKGROUND:Transesophageal echocardiography (TEE) has been used to identify the potential risk for cardiogenic embolism in patients with atrial fibrillation (AF). However, ischemic stroke in patients with AF is not always attributable to embolism. Identification of the risk of embolic versus atherothrombotic stroke sho...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960230710

    authors: Shinokawa N,Hirai T,Takashima S,Kameyama T,Obata Y,Nakagawa K,Asanoi H,Inoue H

    更新日期:2000-07-01 00:00:00

  • Association of Physical Fitness With the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis.

    abstract::Several studies have investigated the role of physical fitness in atrial fibrillation (AF), but the results remain controversial. We aimed to estimate the association between physical fitness and risk of AF. We comprehensively retrieved data from the Cochrane Library, PubMed, and Embase databases until February 29, 20...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/clc.22552

    authors: Zhu W,Shen Y,Zhou Q,Xu Z,Huang L,Chen Q,Hong K

    更新日期:2016-07-01 00:00:00

  • Postoperative troponin I values: insult or injury?

    abstract:BACKGROUND:Troponin I (TnI) is increasingly employed as a highly specific marker of acute myocardial ischemia. The value of this marker after cardiac surgery is unclear. HYPOTHESIS:The purpose of this study was to measure serum TnI levels prospectively at 1, 6, and 72 h after elective cardiac operations. In addition, ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960231009

    authors: Horvath KA,Parker MA,Frederiksen JW,Palmer AS,Fullerton DA

    更新日期:2000-10-01 00:00:00

  • Mechanism of left atrial enlargement related to ventricular diastolic impairment in hypertension.

    abstract:BACKGROUND AND HYPOTHESIS:Systemic hypertension is the leading cause of left ventricular (LV) hypertrophy. The present study aimed to investigate the mechanism of left atrial (LA) enlargement in patients with hypertensive heart disease during cardiac catheterization. METHODS:Data were obtained from eight control subje...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960191211

    authors: Matsuda M,Matsuda Y

    更新日期:1996-12-01 00:00:00

  • Heart rate variability during repeated incremental head-up tilt discloses time dependence of individual autonomic dynamics.

    abstract::According to the Rosenblueth-Simeone model, the heart rate (HR) is proportional to the sympathovagal balance. The individual proportionality constant is the intrinsic HR, which can be determined only invasively. The percentage low-frequency spectral HR variability power, relative to the low- plus high-frequency spectr...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960190112

    authors: Bootsma M,Swenne CA,Bruschke AV

    更新日期:1996-01-01 00:00:00

  • Peripartum cardiomyopathy: A systematic review of the literature.

    abstract::Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure. It is defined as cardiomyopathy that develops in the last month of pregnancy or within 5 months of the postpartum period without an identifiable cause. We conducted a systematic review of literature of prospective studies with a focus on echocardiograp...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.22932

    authors: Asad ZUA,Maiwand M,Farah F,Dasari TW

    更新日期:2018-05-01 00:00:00

  • Possible participation of endothelial cell apoptosis of coronary microvessels in the genesis of Takotsubo cardiomyopathy.

    abstract:BACKGROUND:Takotsubo cardiomyopathy (TCM) is characterized by systolic ballooning of the left ventricular apex. It is triggered by emotional or physical stress, but the exact mechanism through which stress leads to TCM is not known. HYPOTHESIS:Coronary microvessel apoptosis is the missing link between stress and TCM. ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20777

    authors: Uchida Y,Egami H,Uchida Y,Sakurai T,Kanai M,Shirai S,Nakagawa O,Oshima T

    更新日期:2010-06-01 00:00:00

  • Valve-in-valve transcatheter aortic valve replacement to treat multijet paravalvular regurgitation: A case series and review.

    abstract::Treatment advances for severe symptomatic aortic stenosis including transcatheter and open surgical valve replacement have improved patient survival, length of stay, and speed to recovery. However, paravalvular regurgitation (PVR) is occasionally seen and when moderate or greater in severity is associated with an at l...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.23504

    authors: Randall MH,Lewandowski TJ,Choi C,Beaver TM

    更新日期:2021-01-01 00:00:00

  • Catheter balloon valvuloplasty of stenotic porcine bioprosthetic valves: Part II: Mechanisms, complications, and recommendations for clinical use.

    abstract::During the last several years dilating balloons have been applied in the treatment of stenotic cardiac valves. This interest has been extended to stenotic porcine bioprosthetic valves. Part I of this review discusses the pathologic changes producing stenotic porcine prosthetic valves. Part II of this review describes ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960140912

    authors: Waller BF,McKay C,VanTassel J,Allen M

    更新日期:1991-09-01 00:00:00

  • Does nebivolol prevent contrast-induced nephropathy in humans?

    abstract:BACKGROUND:An experimental study showed that nebivolol is an effective agent in contrast-induced nephropathy (CIN) prophylaxis. HYPOTHESIS:We hypothesized that prophylactic nebivolol use had protective effects on renal function in human beings subjected to iodinated contrast agent since it has vasodilatory effect and ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/clc.21013

    authors: Günebakmaz O,Kaya MG,Koc F,Akpek M,Kasapkara A,Inanc MT,Yarlioglues M,Calapkorur B,Karadag Z,Oguzhan A

    更新日期:2012-04-01 00:00:00

  • Effects of dichloroacetate in patients with congestive heart failure.

    abstract:BACKGROUND:Conventional approaches to management of congestive heart failure (CHF) rely on drugs that increase myocardial contractility or reduce ventricular afterload. These approaches often improve cardiac symptoms and survival, but may be associated with significant deleterious effects. An alternative approach is to...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960211206

    authors: Lewis JF,DaCosta M,Wargowich T,Stacpoole P

    更新日期:1998-12-01 00:00:00

  • Evaluation of left ventricular relaxation using the continuous-wave Doppler velocity profile of aortic regurgitation: noninvasive measurement of left ventricular negative dP/dt and time constant.

    abstract:BACKGROUND:The maximal negative dP/dt [max (-)dP/dt] and time constant (T) are useful indices for evaluating left ventricular (LV) relaxation, but they require invasive procedures. HYPOTHESIS:The purpose of this study was to obtain max (-)dP/dt and T using the continuous-wave Doppler aortic regurgitation velocity curv...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960190907

    authors: Honda Y,Yokota Y,Yokoyama M

    更新日期:1996-09-01 00:00:00

  • Assessment of right ventricular diastolic filling in patients with coronary artery disease.

    abstract::To assess right ventricular (RV) diastolic filling in coronary artery disease (CAD), with special reference to the involved lesions of the coronary arteries and left ventricular (LV) systolic function, gated radionuclide ventriculography was performed at rest in 106 patients with single-vessel CAD. Based on the site o...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960161112

    authors: Yamagishi T,Matsuda Y,Nakatsuka M,Maeda J,Matsuda M

    更新日期:1993-11-01 00:00:00

  • Carbon-coated stents in patients with acute coronary syndromes.

    abstract:BACKGROUND:For patients with ST elevation myocardial infarction (STEMI) or non-ST elevation myocardial infarction (NSTEMI), rapid restoration of coronary blood flow is the primary therapeutic goal. Because of the acute nature of this clinical presentation, bleeding risks may not be adequately evaluated, limiting the us...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20295

    authors: Wöhrle J,Nusser T,Langenwalder S,Heombach V,Kochs M

    更新日期:2009-06-01 00:00:00

  • Nut consumption, lipids, and risk of a coronary event.

    abstract::In the past, many have avoided nuts because of their high fat content. The Dietary Approaches to Stop Hypertension (DASH) diet, however, recommends regular consumption of this food along with seeds and dried beans (4-5 servings per week) as part of a diet to control hypertension. Nuts are nutrient-dense and most of th...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960221504

    authors: Fraser GE

    更新日期:1999-07-01 00:00:00

  • The prevalence of prehypertension and hypertension among rural adults in Liaoning province of China.

    abstract:BACKGROUND:The objective of this study was to estimate the prevalence of prehypertension and hypertension in the rural adults of Liaoning province of China. METHODS:The study was conducted in 2004-2006, using a multistage cluster sampling method to select a representative sample. A total of 45925 adults, 35 years or o...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20073

    authors: Sun Z,Zheng L,Wei Y,Li J,Zhang X,Zhang X,Liu S,Xu C,Li J,Zhao F,Dong G,Hu D,Sun Y

    更新日期:2007-04-01 00:00:00

  • Effects of exercise on plasma viscosity in athletes and sedentary normal subjects.

    abstract::To assess the immediate and long-term effects of exercise on factors regulating blood flow, we measured plasma viscosity (eta p) and plasma renin activity (PRA) in 17 trained runners and 16 sedentary healthy subjects before and 10 min after graded treadmill exercise. Resting eta p was lower in runners primarily becaus...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960040405

    authors: Letcher RL,Pickering TG,Chien S,Laragh JH

    更新日期:1981-07-01 00:00:00

  • Angina induced by excessive bradycardia.

    abstract::Angina pectoris usually occurs in patients with significant coronary artery disease during periods of increased coronary demand such as increased heart rate. Bradycardia is a rare and unusal cause of angina pectoris that should be considered during the evaluation of patients with agnia. This paper reports three cases ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960230619

    authors: Shaheen J,Wanderman A,Tzivoni D

    更新日期:2000-06-01 00:00:00

  • Percutaneous Closure of Paravalvular Regurgitation After Transcatheter Aortic Valve Implantation: A Systematic Review.

    abstract::Paravalvular regurgitation (PVR) remains one of the drawbacks of transcatheter aortic valve implantation (TAVI). Details of percutaneous closure (PCC) of PVR after TAVI remain obscure. We aimed to explore the patient characteristics, procedural details, closure devices used, and outcomes of PCC after TAVI. A systemati...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.22569

    authors: Ando T,Takagi H,ALICE (All-Literature Investigation of Cardiovascular Evidence) Group.

    更新日期:2016-10-01 00:00:00

  • Ethanol-induced myocardial ischemia: close relation between blood acetaldehyde level and myocardial ischemia.

    abstract::A patient with vasospastic angina who developed myocardial ischemia following ethanol ingestion but not after exercise was described. Myocardial ischemia was evidenced by electrocardiograms (ECGs) and thallium-201 scintigrams. The blood acetaldehyde level after ethanol ingestion was abnormally high. The time course an...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960160514

    authors: Ando H,Abe H,Hisanou R

    更新日期:1993-05-01 00:00:00

  • Late potentials recording with a precordial signal-averaged electrocardiogram in 53 consecutive patients with a first acute myocardial infarction: incidence and early natural history.

    abstract::Signal-averaged electrocardiograms were obtained in 53 consecutive patients with a first acute myocardial infarction (AMI) who survived the first 10 days of hospitalization. The recording was performed twice, at Day 1 and at Day 10 of hospitalization, in patients without bundle-branch block and who did not receive ant...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960131005

    authors: Strasberg B,Abboud S,Kusniec J,Sclarovsky S,Agmon J

    更新日期:1990-10-01 00:00:00

  • Stroke and Systemic Embolism After Successful Ablation of Typical Atrial Flutter.

    abstract:BACKGROUND:Following successful cavotricuspid isthmus (CTI) ablation during typical atrial flutter (AFL), anticoagulation therapy is usually withdrawn. However, potential subsequent atrial fibrillation (AF) in these patients may increase embolic risk in the long term. Embolic rates in this setting have not been clearly...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22538

    authors: Expósito V,Rodríguez-Entem F,González-Enríquez S,Veiga G,Olavarri I,Olalla JJ

    更新日期:2016-06-01 00:00:00

  • Influence of angiotensin-converting enzyme gene polymorphism on development of athlete's heart.

    abstract:BACKGROUND AND HYPOTHESIS:Genetic influence on development of athlete's heart is uncertain. This study investigated whether angiotensin-converting enzyme (ACE) gene polymorphism influenced development of athlete's heart. METHODS:Forty-three participants in a 100-km ultramarathon were classified on the basis of ACE gen...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960230814

    authors: Nagashima J,Musha H,Takada H,Awaya T,Oba H,Mori N,Ohmiya K,Nobuoka S,Murayama M

    更新日期:2000-08-01 00:00:00

  • An approach to therapy of supraventricular tachyarrhythmias: an algorithm versus individualized therapy.

    abstract::Approaches to the treatment of supraventricular arrhythmias, including atrial fibrillation, atrial flutter, atrial tachycardia, atrioventricular (AV) reentrant tachycardia, and AV nodal reentrant tachycardia, continue to evolve. Within the past two decades, many new and effective treatments have become available. Thes...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960171408

    authors: Waldo AL

    更新日期:1994-09-01 00:00:00

  • Late thrombotic obstruction of an aortic bioprosthetic valve: successful treatment by oral anticoagulation.

    abstract::Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier-Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve. Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to ca...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960160215

    authors: Juliard JM,Paillole C,Dahan M,Steg PG,Himbert D,Aumont MC

    更新日期:1993-02-01 00:00:00

  • Sinus Node Dysfunction Is Associated With Higher Symptom Burden and Increased Comorbid Illness: Results From the ORBIT-AF Registry.

    abstract:BACKGROUND:Patients with sinus node dysfunction (SND) have increased risk of atrial tachyarrhythmias, including atrial fibrillation (AF). To date, treatment patterns and outcomes of patients with SND and AF have not been well described. HYPOTHESIS:Patients with SND and AF have higher risk of adverse cardiovascular out...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22504

    authors: Jackson LR 2nd,Kim SH,Piccini JP Sr,Gersh BJ,Naccarelli GV,Reiffel JA,Freeman J,Thomas L,Chang P,Fonarow GC,Go AS,Mahaffey KW,Peterson ED,Kowey PR

    更新日期:2016-02-01 00:00:00

  • The evolution of management of acute coronary syndromes (unstable angina and non-ST segment elevation myocardial infarction): Part l.

    abstract::As I advanced through medical school at Johns Hopkins, and throughout my subsequent training, I was constantly reminded of the contributions made to medicine by our predecessors. Many of whom were at Johns Hopkins, but many were not. As I continue active involvement in the education of medical students and physicians,...

    journal_title:Clinical cardiology

    pub_type: 社论,历史文章

    doi:10.1002/clc.20392

    authors: Conti CR

    更新日期:2008-04-01 00:00:00

  • Lifestyle change and high-density lipoprotein change: the US Department of Veterans Affairs Normative Aging Study.

    abstract:BACKGROUND:We sought to determine whether lifestyle modifications are associated with high-density lipoprotein cholesterol (HDL-C) change in a cohort with long-term follow-up. HYPOTHESIS:Changes in alcohol consumption, smoking, or body mass index (BMI) are associated with within-individual changes in HDL-C. METHODS:W...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.21978

    authors: Rahilly-Tierney C,Vokonas P,Gaziano JM,Spiro A 3rd

    更新日期:2012-01-01 00:00:00

  • Monocyte chemoattractant protein-1 and recurrent cardiovascular events in patients with stable coronary heart disease.

    abstract:BACKGROUND:Monocyte chemoattractant protein-1 (MCP-1) participates in the recruitment of mononuclear cells to the vessel wall. HYPOTHESIS:The aim of the study was to evaluate the potential association between serum concentration of MCP-1 and risk of future cardiovascular events in patients with chronic coronary heart ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960280109

    authors: Haim M,Tanne D,Boyko V,Reshef T,Goldbourt U,Battler A,Mekori YA,Behar S

    更新日期:2005-01-01 00:00:00

  • Comparison of auscultation with two-dimensional and Doppler echocardiography in patients with suspected mitral valve prolapse.

    abstract::Auscultation was compared to two-dimensional echocardiography (2D echo) and Doppler ultrasonography in 140 consecutive patients referred for evaluation for suspected mitral valve prolapse (MVP) to asses the precision of the two diagnostic methods. Ninety patients (64%) had midsystolic clicks, of which 42 (47%) had MVP...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960110608

    authors: Barron JT,Manrose DL,Liebson PR

    更新日期:1988-06-01 00:00:00