CMC Cardiac Medicine Certification

Answer- B - Multiple infarcts with normal coronary arteries are expected in a cocaine user. Most cocaine users typically demonstrate hypertension and an increased heart rate. Chest pain may mimic a myocardial infarction. Vasoconstriction occurs both within the coronary arteries and the peripheral circulation, resulting in hypertension and episodes of cardiac ischemia that may cause infarcts. In some cases, multiple infarcts may occur even with normal coronary arteries.