School of Health Sciences, Universidad de La Laguna, Tenerife, Spain; Emergency Department, Hospital Universitario de Canarias, Tenerife, Spain.
School of Health Sciences, Universidad de La Laguna, Tenerife, Spain.
Rev Clin Esp (Barc). 2023 Aug-Sep;223(7):450-455. doi: 10.1016/j.rceng.2023.06.002. Epub 2023 Jun 15.
To determine the characteristics of patients with chest pain (CP) associated with recent drug use.
Study of cases from the REUrHE registry attended in the emergency department of 11 Spanish hospitals for CP following recreational drug use.
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%).
In CP following acute drug intoxication, cocaine use predominates, although cases of cannabis use are increasing.
确定与近期药物使用相关的胸痛（CP）患者的特征。
对 11 家西班牙医院急诊科因娱乐性药物使用后 CP 就诊的 REUrHE 登记处病例进行研究。
CP 占就诊人数的 8.97%（男性占 82.9%，p<0.001）。可卡因的存在率为 70%，其次是大麻（35.7%）和苯丙胺及其衍生物（21.4%）。最常见的初始症状是：心悸（45.5%，p<0.001）、焦虑（42.5%，p<0.001）、高血压（13.6%，p<0.001）和心律失常（5.9%，p<0.001）。TD 患者接受了更多的治疗（81.9% vs 74.1%；p<0.001），尽管他们的入院率较低（7.6%，p=0.0），但在 CPR 操作、镇静、插管或入住重症监护室方面没有差异（1.9%）。
在急性药物中毒后的 CP 中，可卡因的使用占主导地位，尽管大麻的使用病例正在增加。
