Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion

Cocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed, and without prodromal features. It has been reported that in-hospital mortality is close to 2%. Cocaine has powerful central nervous system effects1 and acute cocaine overdose has been associated with...

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Main Authors: M. Chadi Alraies, Mohammed A. R. Chamsi-Pasha, Motaz Baibars, Abdul Hamid Alraiyes, Khaldoon Shaheen
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2013/704859
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author M. Chadi Alraies
Mohammed A. R. Chamsi-Pasha
Motaz Baibars
Abdul Hamid Alraiyes
Khaldoon Shaheen
author_facet M. Chadi Alraies
Mohammed A. R. Chamsi-Pasha
Motaz Baibars
Abdul Hamid Alraiyes
Khaldoon Shaheen
author_sort M. Chadi Alraies
collection DOAJ
description Cocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed, and without prodromal features. It has been reported that in-hospital mortality is close to 2%. Cocaine has powerful central nervous system effects1 and acute cocaine overdose has been associated with hyperthermia, agitation, paranoid ideation, status epilepticus, ventricular fibrillation, ventricular tachycardia, and myocardial infarction (MI). The mechanisms of cocaine-related death remain poorly understood. We report a patient who survived massive cocaine ingestion with psychomotor agitation and generalized seizures followed by asystolic cardiac arrest and transient Brugada pattern on electrocardiogram (ECG).
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institution Kabale University
issn 2090-6404
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language English
publishDate 2013-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-cc524e699baa4ff0a1e30563627df06c2025-02-03T07:24:47ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/704859704859Brugada Pattern Electrocardiogram Unmasked with Cocaine IngestionM. Chadi Alraies0Mohammed A. R. Chamsi-Pasha1Motaz Baibars2Abdul Hamid Alraiyes3Khaldoon Shaheen4Department of Hospital Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, 9500 Euclid Avenue, Mail Code A13, Cleveland, OH 44195, USADepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Hospital Medicine, Peninsula Regional Medical Center, Salisbury, MD 70118, USATulane University Health Sciences Center, Pulmonary Diseases, Critical Care and Environmental Medicine, New Orleans, LA, USADepartment of Hospital Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, 9500 Euclid Avenue, Mail Code A13, Cleveland, OH 44195, USACocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed, and without prodromal features. It has been reported that in-hospital mortality is close to 2%. Cocaine has powerful central nervous system effects1 and acute cocaine overdose has been associated with hyperthermia, agitation, paranoid ideation, status epilepticus, ventricular fibrillation, ventricular tachycardia, and myocardial infarction (MI). The mechanisms of cocaine-related death remain poorly understood. We report a patient who survived massive cocaine ingestion with psychomotor agitation and generalized seizures followed by asystolic cardiac arrest and transient Brugada pattern on electrocardiogram (ECG).http://dx.doi.org/10.1155/2013/704859
spellingShingle M. Chadi Alraies
Mohammed A. R. Chamsi-Pasha
Motaz Baibars
Abdul Hamid Alraiyes
Khaldoon Shaheen
Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion
Case Reports in Cardiology
title Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion
title_full Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion
title_fullStr Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion
title_full_unstemmed Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion
title_short Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion
title_sort brugada pattern electrocardiogram unmasked with cocaine ingestion
url http://dx.doi.org/10.1155/2013/704859
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AT abdulhamidalraiyes brugadapatternelectrocardiogramunmaskedwithcocaineingestion
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