Abstract
Most patients with cocaine-associated chest pain are admitted for at least 12 hours and receive a “rule out” protocol, often with noninvasive testing prior to discharge home. In patients without cocaine use, coronary computerized tomography angiography (CTA) has been shown to be useful to safely identify a low risk group of patients who can be discharged home. It is unclear whether a coronary CTA strategy would be efficacious in cocaine-associated chest pain patients because coronary vasospasm accounts for some of the ischemia. We studied whether a negative coronary CTA in patients with cocaine-associated chest pain identified a subset safe for discharge.
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