Young healthy man who presents with chest pain and ST-elevation in an anterior distribution after using crack cocaine, most consistent with cocaine-induced MI
Key idea: Cocaine induced MI treated the same way as atherosclerotic MI, except that beta blockers are not used (due to theoretical risk of unopposed alpha-agonism) and benzodiazepines are used
Key idea: Cocaine use is associated with myocardial infarction (due to spasm of the coronary arteries) and aortic dissection (due to increased blood pressure), but this presentation more consistent with pure MI because patient has normal BP in both arms (although this is commonly seen in aortic dissections in real life, test writers often will say blood pressures are unequal) and no tearing chest pain into the back
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