Acute aortic dissection related to crack cocaine

Circulation
Priscilla Y HsueDavid D Waters

Abstract

Although single case reports have described acute aortic dissection in relation to cocaine use, this condition is not widely recognized, and the features of cocaine-related aortic dissection have not been defined. We reviewed all available hospital charts from 1981 to 2001 with the ICD-9 diagnosis of aortic dissection. Among the 38 cases of acute aortic dissection, 14 (37%) were related to cocaine use. Crack cocaine was smoked in 13 cases and powder cocaine was snorted in 1 case. The mean interval between cocaine use and the onset of symptoms was 12 hours (range, 0 to 24). Patients with cocaine-related dissection were much younger and more likely to undergo surgery compared with patients with aortic dissection without cocaine use. Most in the cocaine group were black, with a history of untreated hypertension. However, the two groups did not differ in other respects, including dissection type. In an inner city population, acute aortic dissection in the setting of crack cocaine use is common, presumably as a consequence of abrupt, transient, severe hypertension and catecholamine release. This diagnosis should be considered in cocaine users with severe chest pain.

References

Jul 1, 1994·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J E HollanderP Wax
Feb 17, 1994·The New England Journal of Medicine·D J MoliternoL D Hillis
Feb 17, 1994·The New England Journal of Medicine·B D JaffeC V Leier
Aug 1, 1993·Annals of Internal Medicine·E A Warner
Jan 1, 1993·Pharmacology & Toxicology·N L Benowitz
Dec 1, 1996·American Heart Journal·J RashidE J Topol
Sep 1, 1997·The American Journal of Emergency Medicine·A D Perron, M Gibbs
Feb 8, 2000·Drug and Alcohol Dependence·M SofuogluD K Hatsukami
Feb 24, 2001·The Annals of Thoracic Surgery·K E EskanderE T Gelfand
Mar 7, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L D WilsonA Dorbandt
Jun 27, 2001·The Journal of Emergency Medicine·G FamularoC Manzara
Aug 4, 2001·The New England Journal of Medicine·R A Lange, L D Hillis

❮ Previous
Next ❯

Citations

Oct 26, 2005·Der Anaesthesist·U GrundmannH-J Schäfers
Apr 6, 2004·Forensic Science International : Synergy·Cristian PalmiereRomano La Harpe
May 5, 2009·Mayo Clinic Proceedings·Vijay S RamanathKim A Eagle
Jan 27, 2011·European Heart Journal·Xavier CarrilloAntoni Bayes-Genis
Jul 8, 2005·The Journal of Cardiovascular Nursing·Deborah G Klein
Jun 5, 2003·Heart Disease·William H FrishmanAnjum Ismail
May 29, 2007·Journal of Thoracic Imaging·Elsie T NguyenNestor L Müller
Dec 15, 2010·American Journal of Therapeutics·Sandeep Bhargava, Rohit R Arora
Sep 7, 2005·Postgraduate Medical Journal·M Egred, G K Davis
Apr 18, 2013·PloS One·Igor ElmanRoger K Pitman
Jul 20, 2011·Journal of Emergencies, Trauma, and Shock·Salvatore Lentini, Sossio Perrotta
Apr 25, 2014·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Alicia M MaceiraDudley J Pennell
Jul 11, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Carlos S RestrepoAmi Hatta
Dec 22, 2010·Nature Reviews. Cardiology·Scott A LeMaire, Ludivine Russell
Feb 16, 2010·Cellular and Molecular Life Sciences : CMLS·Caspar Grond-GinsbachMarie-Luise Gross-Weissmann
May 14, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Stewart C WilkieAdam C McGuffie
Mar 15, 2006·Current Opinion in Anaesthesiology·Marcelle HernandezAndré A J Van Zundert
Sep 6, 2008·Emergency Radiology·Carlos S RestrepoDaniel Vargas
Apr 18, 2006·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Jessica A FultonRobert S Hoffman
Sep 25, 2012·Critical Care Clinics·Janice L Zimmerman
Jun 1, 2012·Surgical Pathology Clinics·Marc Halushka
Aug 7, 2003·Journal of Vascular and Interventional Radiology : JVIR·Mary Montrella Waybill, Peter N Waybill
Dec 3, 2011·Mayo Clinic Proceedings·Jonathan B Finkel, Gregary D Marhefka
Sep 3, 2011·American Heart Journal·Siddharth K PrakashDianna M Milewicz
Dec 7, 2007·The Canadian Journal of Cardiology·Sarabjeet SinghSandeep Khosla
Nov 13, 2010·Clinical Radiology·N VenkatanarasimhaW M Adams
Feb 14, 2006·The Medical Clinics of North America·Michael E WintersJeffrey Zilberstein
Jun 5, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Moshe FeldhendlerPaul S Pagel
Dec 6, 2005·Cardiology Clinics·Judd E Hollander, Timothy D Henry
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Eric M Siegal
Oct 7, 2011·The Journal of Clinical Hypertension·Eric SecemskyPriscilla Y Hsue
Feb 2, 2011·Journal of Cardiac Surgery·Nikola DobrilovicArun K Singh
Apr 29, 2015·The Journal of Emergency Medicine·Rahman ShahM Rehan Khan
Apr 2, 2017·Atherosclerosis·Keren BachiNelly Alia-Klein
Jun 6, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Ala AlosmanPaul S Pagel
Sep 11, 2007·The American Journal of Cardiology·Luis AfonsoDeepak Thatai
Feb 6, 2017·Drug and Alcohol Dependence·Elise D RileyKara L Lynch
Sep 21, 2004·Journal of Cardiovascular Pharmacology and Therapeutics·John Afshin KasherPeter Balingit
Mar 18, 2010·Vascular Medicine·Avneet SinghMartin A Alpert
Dec 16, 2010·Circulation·Bryan G SchwartzRobert A Kloner
Dec 14, 2005·Circulation·Thomas T TsaiKim A Eagle
Mar 19, 2008·Circulation·James McCordUNKNOWN American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology
Apr 3, 2002·Circulation·Kim A EagleUNKNOWN International Registry for Aortic Dissection (IRAD) Investigators
Jan 9, 2009·Orvosi hetilap·Zoltán SzeberinGyörgy Acsády
Jun 1, 2010·Clinical Cardiology·Suraj MarajD Lynn Morris

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Related Papers

Arthritis Care & Research
Nataliya Milman, C Douglas Smith
Anales de medicina interna : organo oficial de la Sociedad Española de Medicina Interna
J García CastañoC Gilsanz Fernández
Vascular Medicine
Avneet SinghMartin A Alpert
© 2022 Meta ULC. All rights reserved