jeepmedic
Forum Captain
- 451
- 0
- 0
Have/Do any of you use Valium for a pt. C/O of chest pain with a recent Hx. of cocaine use? I was reading about it in another Forum and Looked interesting.
I have seen some "Coke" induced AMI's in young healthy people and it is really the craps, because there is nothing much you can do for them.. even a cath lab can't help. ...
R/r 911
Is it due to the damage of the coronary arteries from the cocaine or crank? what kind of damage happens?Yes, Valium is actually the "preferred" medication of choice for "Cocaine" or "crank" AMI's. Remember that an infarct is occurring not because of an thrombus occlusion, rather a coronary vasoconstriction secondary to the drug induce state. Valium is a smooth muscle relaxer and thus relaxes and increases the lumen size. NTG is of beneficial as well, do to the same properties...
I have seen some "Coke" induced AMI's in young healthy people and it is really the craps, because there is nothing much you can do for them.. even a cath lab can't help. ...
R/r 911