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Cocaine-Induced Bradyarrhythmia*: An Unsuspected Cause of Syncope

Victor J. Castro, MD; Robert Nacht, MD
Author and Funding Information

*From the State University of New York Health Science Center at Brooklyn, Brooklyn, NY.

Correspondence to: Victor J. Castro, 130 Retreat Ave #C3, Hartford, CT 01606



Chest. 2000;117(1):275-277. doi:10.1378/chest.117.1.275
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Cocaine 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.

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