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A Sniff Away From Death: A Rare Case of Cocaine-Induced Triple Vessel Coronary Artery Disease in a 41-Year-Old Male Patient

Cocaine-associated coronary artery disease and ST-segment elevation myocardial infarction (STEMI) have been well described in the literature. However, very few cases of cocaine-induced multivessel coronary artery disease have been reported. We report a very rare case of cocaine-associated triple ves...

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Detalles Bibliográficos
Autores principales: Patel, Neel N, Bhanushali, Karan B, Asnani, Heena K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359193/
https://www.ncbi.nlm.nih.gov/pubmed/37485137
http://dx.doi.org/10.7759/cureus.40707
Descripción
Sumario:Cocaine-associated coronary artery disease and ST-segment elevation myocardial infarction (STEMI) have been well described in the literature. However, very few cases of cocaine-induced multivessel coronary artery disease have been reported. We report a very rare case of cocaine-associated triple vessel coronary artery disease in a 41-year-old male patient. The patient underwent urgent catheterization that revealed occlusion of his proximal left anterior descending artery (LAD), mid-circumflex artery, and right coronary artery with angioplasty and stent placement. His hospitalization course was complicated by cardiogenic shock, shock liver, acute renal failure, and sepsis.