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  • Title: Chest pain secondary to drug use treated in hospital emergency departments in Spain.
    Author: Ibrahim-Achi D, Pelizzolo-Vega S, Puiguriguer J, Supervía A, Galicia M, Domínguez-Rodríguez A, Miró O, Burillo-Putze G.
    Journal: Rev Clin Esp (Barc); 2023; 223(7):450-455. PubMed ID: 37330171.
    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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