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Cocaine and chest pain
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An_247551 posted:
Hello, yesterday someone I know had a horrific experience his first time trying cocaine. He felt like he was having a heart attack and was very frightened. After many hours he finally calmed down and realized that he could not have been having a heart attack since it had been many hours and he hadn't died/fainted/whatever yet and his heart rate and pains were starting to return to normal. He was amazed that he could have such a negative reaction since he did not do that much coke.

It is now the next morning and though he didn't have a heart attack he is worried that he could have caused some permanent heart damage. Unfortunately he refuses to go to a hospital. This morning his heart rate is back to normal though even small exercise such as walking up the stairs causes his heart rate to go up higher than it should, so he is resting for now. What concerns him is that though as long as he rests his heart rate seems to be fine, he still has chest pains. He is not sure if this chest pain is a temporary after effect caused by the coke or if it is a sign of permanent heart damage.

He describes the pain as being different from last night where the chest pains felt like the symptoms of a heart attack. Last night they weren't very painful, but felt like pressure or rubber bands around his arm. Some quick internet searching found that coke can often mimic the signs of a heart attack, but of course it could also have been real, and that is why he worries that it could have caused permanent damage. Now he describes the pain as being an ache in his chest.

So can you explain whether this is a temporary pain, or a sign of permanent damage? Or will he have to rest and wait it out and see how long it lasts?
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cardiostarusa1 responded:
Hi:

"So can you explain whether this is a temporary pain, or a sign of permanent damage?"

Realistically, no one can truly determine this. ONLY a qualified doctor or doctors, using the appropriate diagnostics can.

......"and realized that he could not have been having a heart attack since it had been many hours and he hadn't died/fainted/whatever yet and his heart rate and pains were starting to return to normal."

Regardless of that, a drug-induced heart attack (or a heart attack in general, and at any age) still may/could have occurred.

"Unfortunately he refuses to go to a hospital"

That is unfortunate.

General info -

About com

Cocaine and the Heart

Not only is cocaine physically and psychologically addictive, it can kill you -- even on the first try.

http://heartdisease.about.com/lw/Health-Medicine/Drugs-and-treatments/Cocaine-and-the-Heart.htm

WebMD

Cocaine Use and its Effects

http://www.webmd.com/mental-health/cocaine-use-and-its-effects

Best of luck down the road of life to the person you speak of.

Take care,

CardioStar*

WebMD member (since 8/99)




-

-

Be well-informed

As Applicable (must be 100% confirmed/diagnosed)

Heart Attack

What Is A Heart Attack? Types Of Heart Attack. Symptoms Of A Heart Attack.

Is It A Heart Attack?......

http://www.ehealthmd.com/library/heartattack/HA_whatis.html
Imaging Ischemia or a Heart Attack

Isotope/Nuclear Stress Test

SEE: Actual rest/stress nuclear images

The physician can separate a normal left ventricle, from ischemia (live muscle with flow that is compromised only during exercise) and the scar tissue of a heart attack. The distinction is made in the following way.......

http://www.heartsite.com/html/isotope_stress.html

-

WebMD

Heart Disease TYPES

Men and Women

Acquired in life or congenital (born with it)

http://www.webmd.com/heart-disease/heart-disease-men

Heart Disease SYMPTOMS

http://www.webmd.com/heart-disease/guide/heart-disease-symptoms

Mayo Clinic

Heart Disease

Heart disease is a broad term used to describe a range of diseases that affects your heart and sometimes the blood vessels......

http://www.mayoclinic.com/health/heart-disease/DS01120

-

LEARN ABOUT the Heart


WebMD

The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems

http://www.webmd.com/heart/picture-of-the-heart

How the Heart Pumps

Animated Tutorial

http://your-doctor.com/healthinfocenter/medical-conditions/cardiovascular/heartpump-tutorial.html


-

WebMD/WebMD forums DOES NOT provide medical advice, diagnosis or treatment.

NEVER delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on WebMD.


IF YOU have a medical emergency CALL 911.
 
avatar
cardiostarusa1 responded:
Hi:

"Unfortunately he refuses to go to a hospital."

That is unfortunate.

"So can you explain whether this is a temporary pain, or a sign of permanent damage?"

Realistically, no one can truly deterime this via the Internet. ONLY a qualified doctor or doctors, using the appropriate diagnostics can.

......"and realized that he could not have been having a heart attack since it had been many hours and he hadn't died/fainted/whatever yet and his heart rate and pains were starting to return to normal."

Regardless of that, a drug-induced heart attack (or a heart attack in general, and at any age) stll may/could of occurred.

General info -

About com

Cocaine and the Heart

Not only is cocaine physically and psychologically addictive, it can kill you -- even on the first try.

http://heartdisease.about.com/lw/Health-Medicine/Drugs-and-treatments/Cocaine-and-the-Heart.htm

WebMD

Cocaine Use and its Effects

http://www.webmd.com/mental-health/cocaine-use-and-its-effects

Best of luck down the road of life to the person you speak of.

Take care,

CardioStar*

WebMD member (since 8/99)

-

-

Be well-informed

As Applicable (must be 100% confirmed, diagnosed)

eHealthMD

Heart Attack

What Is A Heart Attack? Types Of Heart Attack. Symptoms Of A Heart Attack.

Is It A Heart Attack?......

http://www.ehealthmd.com/library/heartattack/HA_whatis.html
Imaging Ischemia or a Heart Attack (myocardial infarction, MI, actual death or necrosis of heart muscle/tissue/cells)

HeartSite

Isotope/Nuclear Stress Test

SEE: Actual rest/stress nuclear images

The physician can separate a normal left ventricle, from ischemia (live muscle with flow that is compromised only during exercise) and the scar tissue of a heart attack......

http://www.heartsite.com/html/isotope_stress.html

- -

WebMD

Heart Disease TYPES

Men and Women

Acquired in life or congenital (born with it)

http://www.webmd.com/heart-disease/heart-disease-men

Heart Disease SYMPTOMS

http://www.webmd.com/heart-disease/guide/heart-disease-symptoms

Mayo Clinic

Heart Disease

Symptoms. Complications. Tests and diagnosis. Treatments and drugs. Prevention....

Heart disease is a broad term used to describe a range of diseases that affect your heart and sometimes your blood vessels......

http://www.mayoclinic.com/health/heart-disease/DS01120

-

LEARN ABOUT the Heart


WebMD

The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems

http://www.webmd.com/heart/picture-of-the-heart

-

WebMD/WebMD forums DOES NOT provide medical advice, diagnosis, or treatment.

NEVER delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on WebMD.

IF YOU have a medical emergency CALL 911.

 
avatar
James Beckerman, MD, FACC responded:
I don't know for certain what is going on with your friend, but I can tell you that cocaine can be associated with abnormal heart rhythms as well as other forms of heart disease, including heart attacks. Lots of great reasons never to use it again. I'd recommend he get checked out by a doctor.


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