Ibrahim-Achi D, Pelizzolo-Vega S, Puiguriguer J, Supervía A, Galicia M, Domínguez-Rodríguez A, Miró O, Burillo-Putze G. Chest pain secondary to drug use treated in hospital emergency departments in Spain.
Rev Clin Esp 2023;
223:450-455. [PMID:
37330171 DOI:
10.1016/j.rceng.2023.06.002]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 05/08/2023] [Indexed: 06/19/2023]
Abstract
OBJECTIVE
To determine the characteristics of patients with chest pain (CP) associated with recent drug use.
METHODS
Study of cases from the REUrHE registry attended in the emergency department of 11 Spanish hospitals for CP following recreational drug use.
RESULTS
CP accounted for 8.97% of attendances (males 82.9%, p<0.001). Cocaine was present in 70% of cases, followed by cannabis (35.7%) and amphetamines and derivatives (21.4%). The most frequent initial symptoms were: palpitations (45.5%, p<0.001), anxiety (42.5%, p<0.001), hypertension (13.6%, p<0.001) and arrhythmias (5.9%, p<0.001). Patients with TD received more treatment (81.9% vs 74.1%; p<0.001), although they were admitted less (7.6%, p=0.0), with no differences in terms of CPR manoeuvres, sedation, intubation, or admission to intensive care (1.9%).
CONCLUSIONS
In CP following acute drug intoxication, cocaine use predominates, although cases of cannabis use are increasing.
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