Síndrome Coronariana Aguda (SCA) associada ao abuso de cocaína: uma revisão narrativa / Acute Coronary Syndrome (ACS) associated with cocaine abuse: a narrative review

Authors

  • Laerte de Paiva Viana Filho
  • Abner Fernandes da Silva
  • Alice Freitas Macedo
  • Ana Flávia Oliveira Aquino Gusmão
  • Clarissa Moreira Teatini
  • João Pedro Costa dos Santos
  • José Igor Araújo Lima Verde Santos
  • Larissa Maia Lemos Barreto

DOI:

https://doi.org/10.34119/bjhrv3n4-367

Keywords:

Abuso de cocaína, Síndrome Coronariana Aguda, Infarto do Miocárdio

Abstract

Objetivo: Descrever o manejo do paciente com síndrome coronariana aguda (SCA) associada ao abuso de cocaína, com ênfase nos efeitos tóxicos da droga, no quadro clínico, no diagnóstico e no tratamento. Referencial bibliográfico: A cocaína é uma causa comum de complicações cardiovasculares no departamento de emergência. Isso decorre, em grande parte, devido a seus efeitos cardiotóxicos, que predispõem à isquemia miocárdica, tais como o aumento de fatores pró-coagulantes e o aumento da demanda do músculo cardíaco. Na apresentação clínica, o paciente usuário de cocaína com SCA manifesta a dor torácica como sintoma predominante, de forma similar ao não usuário. Porém, naquele que usou a cocaína, é mais frequente a presença de complicações associadas. Para a avaliação da dor, são solicitados o eletrocardiograma e os biomarcadores seriados, preferencialmente a troponina, como exames iniciais. Quanto ao tratamento, há divergências na literatura, principalmente, em relação ao uso de betabloqueadores nos usuários de cocaína, sendo as demais condutas para SCA aceitáveis, adicionando-se a estas, o uso de benzodiazepínicos. Considerações finais: A SCA induzida pelo uso da cocaína é uma patologia grave e exige mais estudos a respeito de seu tratamento, especialmente acerca da administração de betabloqueadores.

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Published

2020-08-28

How to Cite

FILHO, L. de P. V.; SILVA, A. F. da; MACEDO, A. F.; GUSMÃO, A. F. O. A.; TEATINI, C. M.; SANTOS, J. P. C. dos; SANTOS, J. I. A. L. V.; BARRETO, L. M. L. Síndrome Coronariana Aguda (SCA) associada ao abuso de cocaína: uma revisão narrativa / Acute Coronary Syndrome (ACS) associated with cocaine abuse: a narrative review. Brazilian Journal of Health Review, [S. l.], v. 3, n. 4, p. 11180–11197, 2020. DOI: 10.34119/bjhrv3n4-367. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/15791. Acesso em: 29 mar. 2024.

Issue

Section

Original Papers