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More on the idiosyncratic effects of cocaine on the human heart
  1. K M Kuczkowski
  1. Correspondence to:
 Dr K M Kuczkowski
 Department of Anesthesiology, University of California San Diego Medical Center, 200 West Arbor Drive, San Diego, CA 92103-8770, USA; kkuczkowski{at}

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Recreational cocaine use in the US is widespread, affecting more than 30 million people. Cocaine is responsible for more emergency department visits and hospital admissions than any other drug.1 Owing to its ability to interfere with the sodium channel, cocaine intoxication is often associated with electrocardiographic changes, indicative of acute myocardial ischaemia with ST segment elevation and other ST changes, …

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  • Competing interests: None declared.