© 2003 by BMJ Publishing Group & British Cardiac Society
JournalScan
JournalScan
| The first 150 words of the full text of this article appear below. |
Ischaemic heart disease

Chest pain may be caused by ischaemia without infarction, or it may be extracardiac (for example, pleuritic) in nature. Weber and associates report on a prospective study in which they validated the hypothesis that such an approach is safe. They evaluated 344 patients with cocaine related chest discomfort. Forty two of these patients (12%) were admitted to the hospital with acute myocardial infarction (MI), unstable angina, or another cardiac condition. Among the remaining 302 patients, those who had no new electrocardiographic changes indicative of ischaemia, as well as normal concentrations of cardiac troponin I, a negative exercise test, and no cardiovascular complications during a 912 hour period in an observation unit, were discharged. Thirty day follow up in this cohort revealed that none of the patients died of a cardiovascular event. Four patients sustained a non-fatal MI; however, these patients had continued to use cocaine. So, many patients can be
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
