Academic Journal

Abstract 89: Utility of Stress Echocardiography in Cocaine Associated Chest Pain

التفاصيل البيبلوغرافية
العنوان: Abstract 89: Utility of Stress Echocardiography in Cocaine Associated Chest Pain
المؤلفون: Sekhar, Aravind, Raheja, Prafull, Stoddard, Marcus F
المصدر: Circulation: Cardiovascular Quality and Outcomes ; volume 6, issue suppl_1 ; ISSN 1941-7713 1941-7705
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2013
الوصف: Background: Patients presenting with Cocaine associated chest pain are typically younger than patients with traditional risk factors but are at risk for accelerated Coronary artery disease. Radiation exposure associated with modes of stress testing such as Coronary CT or SPECT, makes it concerning especially in young females of childbearing age group presenting with cocaine associated chest pain. Stress echocardiography avoids radiation exposure, is more cost effective, saves time and adds to diagnostic information especially in patients with chest pain. However, safety of stress echocardiography has not been well studied in cocaine positive patients. Pharmacological testing with dobutamine raises concerns regarding provoking vasospasm or an exaggerated hypertensive response in these patients due to excessive sympathetic stimulation. Hypertensive response with stress testing can cause wall motion abnormalities without coronary disease and affect specificity of stress echocardiography. Methods: We conducted a retrospective analysis of patients who presented with chest pain and underwent stress echocardiography and had toxicology screen for cocaine positive during that visit. Cocaine positive patients were compared with age matched cocaine negative patients and assessed for hypertensive response, ischemic changes and complications during stress echocardiography. Results: No sustained arrhythmias, cardiac arrests or major complications occurred in both groups and overall safety in cocaine positive patients was similar to the control group both with treadmill and dobutamine stress echocardiography. Incidence of hypertensive response was not increased compared to controls with both exercise and dobutamine stress testing. Conclusion: Stress echocardiography appears to be a safe and useful procedure for risk stratification for cocaine associated chest pain patients once acute coronary syndrome is ruled out.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1161/circoutcomes.6.suppl_1.a89
الاتاحة: http://dx.doi.org/10.1161/circoutcomes.6.suppl_1.a89
رقم الانضمام: edsbas.A221A3CC
قاعدة البيانات: BASE
الوصف
DOI:10.1161/circoutcomes.6.suppl_1.a89