Chest pain and dysrhythmias in a healthy parturient: Wolff-Parkinson-White syndrome vs cocaine-induced myocardial ischemia?

From: Anaesthesia and Intensive Care | Date: February 1, 2004| Author: | Copyright information

Pregnancy is known to exacerbate symptoms (dysrhythmias) in patients with Wolff-Parkinson-White (WPW) syndrome1. Cardiac complications of cocaine intoxication include dysrhythmias, ischemia and/or infarction2. I herein report a case of a healthy, cocaine-abusing parturient who presented with cocaine-induced dysrhythmias, chest pain and electrographic (ECG) changes mistaken for (simulating) WPW syndrome at presentation.

A 22-year-old, 169 cm, 65 kg, gravida 1 para 0, otherwise healthy female (specifically, no risk factors for cardiovascular disease were identified) with a history of ...

Read all of this article with a FREE trial to HighBeam Research

Related newspaper, magazine, and trade journal articles from HighBeam Research

(Including press releases, facts, information, and biographies)

Wolff-Parkinson-White Syndrome: Essentials for the Primary Care Nurse Practitioner
; ...management of Wolff-ParkinsonWhite (WPW) syndrome. Data Sources Selected research and clinical articles. Conclusions WPW syndrome is the most common form of ventricular...approximately half of the patients with WPW syndrome experience symptoms secondary...
Bradycardia-dependent block in the accessory pathway in a patient with alternans Wolff-Parkinson-White syndrome
; ...preexcitation in the WoIfFParkinson-White (WPW) syndrome is a well-known phenomenon manifested...electrocardiogram (ECG),1'2 the occurrence of WPW syndrome on alternate beats during regular cardiac...pathway in a patient with alternans WPW syndrome during regular sinus rhythm. A ...
R-wave amplitude response to myocardial ischemia in hypertrophic cardiomyopathy
; ...to enhance diagnostic value for myocardial ischemia in coronary heart disease. Methods...correlated the results with regional myocardial ischemia or diffuse subendocardial ischemia...to exercise failed to demonstrate myocardial ischemia in our patients with HCM. 2008 Elsevier...
Prophylactic clonidine halves risk of myocardial ischemia throughout perioperative period
; ...month in San Francisco. erai need. Myocardial ischemia develops in 20% to 40% of surgical...7. The incidence of preoperative myocardial ischemia was 1.5% in the clonidine group...group (p = 0.004). The incidence of myocardial ischemia was also reduced significantly in...
CT may be used to assess myocardial ischemia.(Cardiovascular Medicine)(Brief article)
; ...shows promise for the assessment of myocardial ischemia, on the basis of data presented...computed tomography) imaging to detect myocardial ischemia in 47 patients. For ischemic regions...multidetector CT can evaluate both myocardial ischemia induced by dipyridamole and coronary...
Screening for Coronary Artery Disease in Diabetics.
; ...population has a high incidence of silent myocardial ischemia. As a result, coronary artery disease...achieved by screening for silent myocardial ischemia. In this study, Janand-Delenne and...from routine screening for silent myocardial ischemia. The authors divided diabetic ...
Difficulties in assessing the presence, duration, severity, extent, and evolution of acute myocardial ischemia and infarction: ischemic ST-segment counterpoise as a plausible explanation
; ...patients are evaluated for acute myocardial ischemia or MI and where the attributes of...presence or attributes of acute myocardial ischemia and MI. This necessitates the resort...resolution). By attributes of the acute myocardial ischemia and MI, I refer to the presence...
Myocardial ischemia during cocaine withdrawal.
; ...vasospasm, which increases the risk of myocardial ischemia or infarction. Nademanee and colleagues...report on the prevalence of silent myocardial ischemia during the early stages of cocaine...electrocardiographic findings positive for myocardial ischemia were asked to undergo ...
Identification of best electrocardiographic leads for diagnosing acute myocardial ischemia
; ...optimal lead selection in acute myocardial ischemia. Although this group is difficult...categories: 1. Spontaneous acute myocardial ischemia accompanying or not acute myocardial...infarction (MI); and 2. Provoked acute myocardial ischemia, for example, percutaneous transluminal...
Effect of clinical variables on the correlation between amount of ST elevation and myocardial scintigraphic perfusion defect during coronary occlusion*
; ...amount of ST elevation (STE) and myocardial ischemia could be altered by variables such...Coronary occlusion; ST elevation; Myocardial ischemia Introduction During coronary occlusion...electrocardiographic (ECG) expression of transmural myocardial ischemia, and in the animal ...