Mahesh Amin, MD; Gary Gabelman, MD
To the Editors: The article by Gitter and colleagues (1) presents findings similar to those from our own study (2). The authors, however, have placed undue importance on the 0% myocardial infarction rate in their cohort of patients hospitalized for chest pain after cocaine use. Their retrospective analysis has many inherent problems (as they acknowledge)—for example, incomplete electrocardiographic (ECG) data (41%) and the lack of serial creatine kinase-MB fraction measurements (9%). Because criteria for the diagnosis of acute myocardial infarction include a typical history, serial ECG changes, and an elevated creatine kinase-MB fraction, some of their patients may indeed have
Learn more about subscription options.
Register Now for a free account.
Amin M, Gabelman G. Cocaine and Chest Pain. Ann Intern Med. 1992;116:91–92. doi: 10.7326/0003-4819-116-1-91
Download citation file:
Published: Ann Intern Med. 1992;116(1):91-92.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only