Características, manejo y evolución intrahospitalaria de usuarios de drogas ilícitas con infarto agudo del miocardio

Abstract

, rAmÓn corbAlán 3,6 . GruPo de estudio multicéntrico del infArto (Gemi) Characteristics, management, and outcomes of illicit drug consumers with acute myocardial infarction (86.3% and 42.5% respectively, p < 0.01). Among consumers, there was a higher percentage of ST segment elevation (85.2% and 67.8% respectively, p < 0.01) and anterior wall AMI (59.9 and 49.5% respectively, p = 0.01). Additionally, they had a higher rate of primary angioplasty (48.8% and 25.5% respectively, p < 0.01). There was no difference in hospital mortality between groups when stratified by age. Conclusions: A low percentage of patients with AMI had a previous history of ID consumption in our national setting. These patients were younger and had a greater frequency of ST segment elevation AMI, which probably determined a more invasive management. (Rev Med Chile 2016; 144: 39-46) Background: Consumption of illicit drugs (ID) has been associated with an increased risk of acute myocardial infarction (AMI

Demographic and cardiovascular risk factors associated with drug use in truck drivers

“…Another possible effect is the blocking of sodium/potassium channels, causing cardiovascular changes, which may present increased and prolonged risks when there is an association between cocaine and alcohol. 15 In a review including a range of studies on the effects of the drug, it was found that its frequent use may be strongly associated with an increased risk of acute cardiovascular complications, such as hypertension, coronary aneurysms, arrhythmias and myocardial infarction 14,15,18,37 .…”

Repercussões cardiovasculares em usuários de cocaína: uma revisão integrativa

“…Thus, among the patients who presented acute myocardial infarction (AMI) and made previous use of cocaine, the highest percentage was of ST-segment elevation acute myocardial infarction (STEMI) and cardiogenic shock, while others manifested ST-segment elevation acute myocardial infarction (STEMI), with heart failure in its presentation 19,24,25 .…”

Risco cardiovascular de usuários de um centro de atenção psicossocial em álcool e drogas

“…A cocaína está associada a diversas doenças cardiovasculares (DCV), como hipertensão, infarto do miocárdio, taquiarritmias, dissecção da aorta, insuficiência cardíaca, vasoespasmo e aterogênese acelerada, decorrente do infarto (9) . O uso abusivo de cocaína é uma das principais demandas pelo serviço público de saúde relacionado aos sintomas cardiovasculares (10) . Entre os atendimentos referentes ao consumo de cocaína, 39,5% dos indivíduos queixam-se de dor torácica aguda e infarto agudo do miocárdio.…”