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Objectives: Cocaine is a commonly used illicit drug that leads to the most emergency department ED visits. Our aim was to evaluate the incidence of previous myocardial infarction among young cocaine users 18—40 years with cocaine-associated chest pain by the assessment of myocardial fibrosis by cardiovascular MRI. Methods: 24 cocaine users 22 males who frequently complained about cocaine-associated chest pain underwent CTA and cardiovascular MRI. Mean age of patients was Among the coronary segments evaluated, only one patient had calcified plaques at the anterior descending coronary artery proximal and medium segments. Assessment of regional ventricular function by the evaluation of 17 segments was normal in all patients. None of the patients showed myocardial delayed enhancement, indicative of myocardial fibrosis. Conclusion: Cardiovascular MR did not detect the presence of delayed enhancement indicative of myocardial fibrosis among young cocaine users with low cardiovascular risk who had complained of cocaine-associated chest pain. Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:. Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account. Choose this option to get remote access when outside your institution. Enter your library card number to sign in. If you cannot sign in, please contact your librarian. Many societies offer single sign-on between the society website and Oxford Academic. 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