use is associated with adverse events in nearly every organ system.
Cardiovascular complications include hemorrhagic and ischemic stroke,
aortic dissection, cardiomyopathy, accelerated coronary artery disease,
myocardial infarction, and sudden cardiac death. Syncope may be the
presenting symptom in these conditions. However, cocaine-induced
bradyarrhythmias have been scarcely mentioned. As this case
exemplifies, clinicians should be aware of this association when they
evaluate syncope, especially in young patients.