Daño vascular asociado a uso de cocaína: Caso clínico

Teresa Massardo ^[1] ; Ángela Pino ^[1] ; Isabel Berrocal ^[1] ; Gabriel Castro ^[1] ; Hernán Prat ^[1] ; Jaime Pereira ^[2]
1. [1] Universidad de Chile
  
  Universidad de Chile
  
  Santiago, Chile
2. [2] Pontificia Universidad Católica de Chile
  
  Pontificia Universidad Católica de Chile
  
  Santiago, Chile
Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 140, Nº. 4, 2012, págs. 507-511
Idioma: español
Títulos paralelos:
- Cocaine-induced vascular damage: Report of one case
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Resumen
- Background: Cocaine abuse is associated with an increased risk of cardiac and cerebrovascular events, such as myocardial infarction, sudden cardiac death, and ischemic stroke. The underlying mechanisms leading to these complications are not fully understood although intravascular thrombus formation and accelerated atherosclerosis are prominent findings. We report a 39-year-old male addicted to cocaine, who presented with three consecutive ischemic events characterized by an acute myocardial infarction and two ischemic strokes complicated by cardiac failure and severe neurological sequelae. The pathophysiology of cocaine-induce vascular damage and the management of the ischemic complications are discussed.