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#485: Things We Do For No Reason™Live from SHM #Converge2025

The Curbsiders Internal Medicine Podcast

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Navigating Cocaine Use and Cardiovascular Risks

This chapter explores the pharmacological effects of cocaine on the cardiovascular system, particularly the concerns surrounding the use of non-selective beta blockers in patients with cocaine-related chest pain. It critically examines past studies, including a controversial 1990 research, and highlights the challenges in changing established medical practices despite newer evidence suggesting safer approaches. Additionally, the chapter addresses broader implications of anticoagulation therapy in patients with fall risk, underlining the complexity of risk assessment in clinical decision-making.

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