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Concurrent Myocardial and Cerebral Infarctions after Intranasal Cocaine Use Stroke 23:427-430, Sloan,M.A.&Mattioni,T.A., 1992 See this aricle in Pubmed Article Abstract A 37-year-old man with a remote history of intravenous heroin and amphetamine use,cardiomyopathy,and recent cocaine use developed chest pain and ventricular tachycardia 30 minutes after intranasal cocaine hydrochloride use and jogging on a cold winter morning.Ventricular tachycardia was converted to atrial fibrillation.He was proven to have a small myocardial infarction Within 6 hours of cocaine use he suffered a left hemisphere stroke.Cardiac electrophysiologic evaluation revealed inducible ventricular tachycardia.To our knowledge,this is the first report of concurrent myocardial infarction,lifethreatening ventricular arrhythmias,and cerebral infarction temporally related to cocaine use.It is probable that one mechanism by which cocaine use causes stroke is to trigger expression of a known cardiac source of embolism.

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(click to filter results - removes previous filter) arrhythmia,cardiac cerebral embolism cerebral embolism,cardiac origin cerebrovascular accident cocaine embolism myocardial infarction myocardial infarction,acute

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