CHARACTERISTICS, MANAGEMENT, AND OUTCOMES OF ILLICIT DRUG CONSUMERS WITH ACUTE MYOCARDIAL INFARCTION.

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

Author
Bartolucci, Jorge; Facultad de Medicina, Universidad de los Andes. Unidad de Estudios Cardiológicos, Clínica Santa María

Nazzal N, Carolina; Escuela de Salud Pública, Universidad de Chile Sociedad Chilena de Cardiología

Verdugo, Fernando J; Departamento de Medicina Interna, Universidad de los Andes

Prieto, Juan Carlos; Programa de Farmacología Molecular y Clínica, Facultad de Medicina y Departamento Cardiovascular, Hospital Clínico Universidad de Chile

Sepúlveda, Pablo; Servicio de Cardiología, Hospital San Juan de Dios

Corbalán, Ramón; Centro de Investigación Clínica, Pontificia Universidad Católica de Chile

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/4298
Abstract
Background: Consumption of illicit drugs (ID) has been associated with an increased risk of acute myocardial infarction (AMI). There is limited national evidence about the impact of substance use over the clinical presentation, management and outcomes of AMI patients. Aim: To describe the prevalence of ID consumption in patients within the Chilean Registry of Myocardial Infarction (GEMI), comparing clinical characteristics, management and outcome according to consumption status. Material and methods: We reviewed data from the GEMI registry between 2001 and 2013, identifying 18048 patients with AMI. The sample was stratified according to presence or absence of previous ID consumption, comparing different demographic and clinical variables between groups. Results: Two hundred eighty five patients (1.6%) had history of ID consumption (cocaine in 66%, cannabis in 35% and central nervous system stimulants in 24.0%). Compared with non-users, ID consumers were younger, predominantly male and had a lower prevalence of cardiovascular risk factors, except for tobacco smoking (86.3% and 42.5% respectively, p
 
Background: Consumption of illicit drugs (ID) has been associated with an increased risk of acute myocardial infarction (AMI). There is limited national evidence about the impact of substance use over the clinical presentation, management and outcomes of AMI patients. Aim: To describe the prevalence of ID consumption in patients within the Chilean Registry of Myocardial Infarction (GEMI), comparing clinical characteristics, management and outcome according to consumption status. Material and methods: We reviewed data from the GEMI registry between 2001 and 2013, identifying 18048 patients with AMI. The sample was stratified according to presence or absence of previous ID consumption, comparing different demographic and clinical variables between groups. Results: Two hundred eighty five patients (1.6%) had history of ID consumption (cocaine in 66%, cannabis in 35% and central nervous system stimulants in 24.0%). Compared with non-users, ID consumers were younger, predominantly male and had a lower prevalence of cardiovascular risk factors, except for tobacco smoking (86.3% and 42.5% respectively, p
 
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