Outcomes in Patients With Heart Failure Using Cocaine

Rapid Recovery From Cocaine-Induced Cardiomyopathy: A Case Report

“…In a retrospective cohort that compared 738 cocaine users with heart failure with reduced ejection fraction (HFrEF) with matched non-cocaine users, cocaine consumption was linked to elevated risks of all-cause mortality, heart failure readmission, and overall readmission. Both nonselective and selective βblockers could serve as safe treatment options for patients with heart failure and concomitant cocaine use [12].…”

Things We Do for No Reason™: Discontinuing β‐blockers in patients who use cocaine

“…10 Among 133 patients with available medication prescription data, researchers found no significant differences in 30-day readmission or 1-year mortality, regardless of whether the patients received a β-blocker prescription. 10…”

“…Less robust evidence supports the safety of continuation of β‐blockers in patients with active cocaine use and comorbid HFrEF. One retrospective cohort study sought to compare readmissions and all‐cause mortality among patients with HFrEF who use cocaine 10 . Among 133 patients with available medication prescription data, researchers found no significant differences in 30‐day readmission or 1‐year mortality, regardless of whether the patients received a β‐blocker prescription 10 …”