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Editor's Correspondence
November 08, 2011

Identifying Patients With Cocaine-Related Chest Pain at True Risk for β-Blocker Toxicity

Author Affiliations

Author Affiliations: Department of Medical Toxicology, Banner Good Samaritan Poison and Drug Information Center, Phoenix, Arizona.

Arch Intern Med. 2010;170(20):1859. doi:10.1001/archinternmed.2010.397

In the May 24, 2010, issue of the Archives, Rangel et al1 reported a retrospective study evaluating the apparent lack of an association between the use of β-blockers (BBs) in chest pain patients with recent cocaine use and adverse effects. We thought it was a well-designed study with thoughtful comments and a justified conclusion that the use of “β-blockers [in] patients with cocaine-associated chest pain appears to be safe and may even be beneficial.”1(p879)

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