Article Text

Download PDFPDF

Cocaine and the heart
  1. M Egred1,
  2. G K Davis2
  1. 1Cardiothoracic Centre, Liverpool, UK
  2. 2University Hospital Aintree, Liverpool, UK
  1. Correspondence to:
 Dr M Egred
 Cardiothoracic Centre, Thomas Drive, Liverpool L14 3PE, UK;


Cocaine is the second commonest illicit drug used and the most frequent cause of drug related deaths. Its use is associated with both acute and chronic complications that may involve any system, the most common being the cardiovascular system. Cocaine misuse has a major effect in young adult drug users with resulting loss of productivity and undue morbidity with cocaine related cardiac and cerebrovascular effects. Many cocaine users have little or no idea of the risks associated with its use. Patients, health care professionals, and the public should be educated about the dangers and the considerable risks of cocaine use. This review concentrates on the cardiovascular effects of cocaine and their management.

  • cocaine misuse
  • cocaine related complications
  • myocardial infarction
  • myocardial ischaemia
  • drug misuse

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Funding: none.

  • Conflicts of interest: none.