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Emergency Medicine Journal 2003;20:174-175; doi:10.1136/emj.20.2.174
© 2003 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORT

Acute myocardial infarction in cocaine induced chest pain presenting as an emergency

Simon Carley, Specialist Riegistrar, Baha Ali, Senior Clinical Fellow and K Mackway-Jones

Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin.mackway-jones{at}man.ac.uk

Report by Simon Carley, Specialist Riegistrar
Checked by Baha Ali, Senior Clinical Fellow

ABSTRACT

A short cut review was carried out to establish the incidence of acute myocardial infarction in patients presenting as emergencies with post-cocaine chest pain. Altogether 198 papers were found using the reported search, of which eight presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.


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