The evaluation of cocaine-induced chest pain

2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction

“…After cocaine use, increased motor activity, skeletal muscle injury, and rhabdomyolysis can occur, causing CK and even CK-MB elevation in the absence of MI. 880 Troponin I and TnT are more specific for myocardial injury and therefore are preferred. Blood should be drawn twice for serum markers of myocardial necrosis at 6-h intervals.…”

2012 ACCF/AHA Focused Update Incorporated Into the ACCF/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction

“…After cocaine use, increased motor activity, skeletal muscle injury, and rhabdomyolysis can occur, causing CK and even CK-MB elevation in the absence of MI. 1024 Troponin I and TnT are more specific for myocardial injury and therefore are preferred. Blood should be drawn twice for serum markers of myocardial necrosis at 6-h intervals.…”

ST‐segment Elevation as a Discriminator in Cocaine‐associated Chest Pain

“…as well as studies by Pozen et al. 3 Baxt,' and others. an MI prevalence of more than I O %~ is typical.…”