Patients with cocaine-related cardiac disease may present with the sudden onset of heart failure symptoms including dyspnea, orthopnea, volume overload, or symptoms of myocardial ischemia including chest pain, hypertension, and a sense of impending doom.
Physical examination often reveals symptoms of adrenergic excess including tachycardia, hypertension, cerebral vascular accidents, tachyarrhythmias including ventricular tachycardia and ventricular fibrillation, and altered mental status if other drugs were used simultaneously.
Related topic: Cocaine Use Disorder
I42.7 – Cardiomyopathy due to drug and external agent
72972005 – Dilated cardiomyopathy secondary to drug
Differential Diagnosis & Pitfalls
Drug Reaction Data