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Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome
Six months ago, a middle-aged African American male visited the cardiology clinic for a follow-up on acute coronary syndrome along with atrial fibrillation. The patient was initially diagnosed with unstable angina with palpitation and underwent cardiac catheterization. During the visit, the patient...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440587/ https://www.ncbi.nlm.nih.gov/pubmed/37608901 http://dx.doi.org/10.7759/cureus.43831 |
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author | Mao, Boran Jaraki, Abdul |
author_facet | Mao, Boran Jaraki, Abdul |
author_sort | Mao, Boran |
collection | PubMed |
description | Six months ago, a middle-aged African American male visited the cardiology clinic for a follow-up on acute coronary syndrome along with atrial fibrillation. The patient was initially diagnosed with unstable angina with palpitation and underwent cardiac catheterization. During the visit, the patient complained of unspecific chest discomfort, palpitation, and reduced exercise tolerance after the use of cocaine for several months. ECG showed the absence of atrial fibrillation but instead showed atrial flutter with bradycardia. Cocaine-induced atrial flutter was suspected. The patient was educated about the imperative need to discontinue cocaine use immediately. Additionally, appropriate measures for rate control and anticoagulation were initiated. |
format | Online Article Text |
id | pubmed-10440587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104405872023-08-22 Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome Mao, Boran Jaraki, Abdul Cureus Cardiology Six months ago, a middle-aged African American male visited the cardiology clinic for a follow-up on acute coronary syndrome along with atrial fibrillation. The patient was initially diagnosed with unstable angina with palpitation and underwent cardiac catheterization. During the visit, the patient complained of unspecific chest discomfort, palpitation, and reduced exercise tolerance after the use of cocaine for several months. ECG showed the absence of atrial fibrillation but instead showed atrial flutter with bradycardia. Cocaine-induced atrial flutter was suspected. The patient was educated about the imperative need to discontinue cocaine use immediately. Additionally, appropriate measures for rate control and anticoagulation were initiated. Cureus 2023-08-20 /pmc/articles/PMC10440587/ /pubmed/37608901 http://dx.doi.org/10.7759/cureus.43831 Text en Copyright © 2023, Mao et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Mao, Boran Jaraki, Abdul Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome |
title | Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome |
title_full | Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome |
title_fullStr | Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome |
title_full_unstemmed | Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome |
title_short | Cocaine-Induced Isolated Bradycardic Atrial Flutter: A Rare Presentation in a Patient With a History of Acute Coronary Syndrome |
title_sort | cocaine-induced isolated bradycardic atrial flutter: a rare presentation in a patient with a history of acute coronary syndrome |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440587/ https://www.ncbi.nlm.nih.gov/pubmed/37608901 http://dx.doi.org/10.7759/cureus.43831 |
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