Reader Remarks on:

Cocaine-Related Chest Pain: The Year After

Cocaine related chest pain in ED
Cocaine related chest pain
Cocaine-related chest pain

Cocaine related chest pain in ED

Ian Cormack, 1 May 2009 3:11 PM EST

Competing interests: None declared

The report doesn't state the % of those (23%)returning with chest pain who again tested positive for cocaine. Recreational drug users I have met have often taken a lot of convincing that it is causing problems.

Cocaine related chest pain

Alan A. Wartenberg, DVA Medical Center Providence, 1 May 2009 3:11 PM EST

Competing interests: None declared

I wonder how many patients had effective referral to chemical dependency treatment programs.

Cocaine-related chest pain

James M. Madsen, Drexel University College of Medicine, Philadelphia, PA, 26 May 2009 8:28 AM EST

Competing interests: None declared

I agree that the rate of ACS in patients with cocaine-associated chest pain is low. I'd also like to point out the described but little emphasized phenomenon of pain in muscles of the chest after cocaine use. The character of the pain is different from anginal pain or pressure, and the two need to be distinguished. How many others have seen cocaine- associated musculoskeletal pain?

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