This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Siegel, A. J. Search for Related Content PubMed PubMed Citation Articles by Siegel, A. J. Related Collections Exercise testing Acute coronary syndromes Acute myocardial infarction

(Circulation. 2000;102:e17.)
© 2000 American Heart Association, Inc.

Circulation Electronic Pages

Risk of Cocaine-Induced Myocardial Infarction During Sport

Arthur J. Siegel, MD

Department of Internal Medicine McLean Hospital, 115 Mill Street, Admissions Building, Belmont, MA 02478-9106, ajsiegel@mclean.harvard.edu

	Introduction

 
To the Editor:

In the Determinants of Myocardial Infarction Onset Study, Mittleman et al^{1 2} demonstrated triggering effects of myocardial infarction in the hour immediately after cocaine use and strenuous exercise, with 23.7- and 5.9-fold increases over baseline, respectively.

Given the widespread use of cocaine among recreational and competitive athletes, can an estimate be rendered from their data regarding the cumulative risk of cocaine use during sport?

	References

 
1. Mittleman MA, Mintzer D, Maclure M, et al. Triggering of myocardial infarction by cocaine. Circulation. 1999;99:2737–2741.[Abstract/Free Full Text]

2. Mittleman MA, Maclure M, Tofler GH, et al, for the Determinants of Myocardial Infarction Onset Study Investigators. Triggering of acute myocardial infarction by heavy exertion: protection against triggering by regular exertion. N Engl J Med. 1993;329:1677–1683.[Abstract/Free Full Text]