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OBSTETRIC ANESTHESIA

Crack Cocaine, Myocardial Infarction, and Troponin I Levels at the Time of Cesarean Delivery

Jeffrey C. Livingston, MD^*, Bill C. Mabie, MD^*, and Jaya Ramanathan, MD

Departments of *Obstetrics and Gynecology and Anesthesiology, University of Tennessee-Memphis, Memphis, Tennessee

Address correspondence to Jaya Ramanathan, MD, Department of Anesthesiology, 877 Jefferson Ave., Sixth floor Chandler, Suite Room 631, Memphis, TN 38103.

Implications: During the peripartum period, cocaine-abusing women are highly susceptible to myocardial infarction. This report describes a case of myocardial infarction diagnosed by increased troponin I levels in a pregnant patient with a history of recent crack cocaine use and severe preeclampsia.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999