Cocaine-induced isolated right ventricular infarction

The primary clinical effect of cocaine on cardiovascular system is mediated by profound stimulation of the sympathetic nervous system. [...]patients with cocaine-induced chest pain are more likely to report symptoms of anxiety, palpitations, diaphoresis, and/or nausea. [...]creatine phosphokinase and creatinine kinase-MB are not specific markers of cocaine-induced MI because rhabdomyolysis can confound diagnosis. [...]troponins are more reliable markers for cocaine-induced MI. [...]isolated right ventricular infarction because of cocaine use should be considered in patients present with acute right-sided heart failure.