Recreational drug use may be a factor in a significant proportion of admissions to cardiac intensive care, with various substances detected in 1 in 10 such patients, suggest the findings of a multicentre French study published online in the journal Heart.
While cannabis, cocaine, and ecstasy were each independently associated with these incidents, and single drug use was detected in nearly 3 out of 4 patients , several drugs were detected in more than 1 in 4 users: these patients were at even greater risk, being 12 times as likely to die or require emergency treatment.
And they caution,"Although the strong association between the use of recreational drugs and the occurrence of [major adverse events] suggests an important prognostic role, the limited number of events requires caution in the clinical interpretation of these findings." And they conclude,"While the current guidelines recommend only a declarative survey to investigate recreational drug use, these findings suggest the potential value of urine screening in selected patients with acute cardiovascular events to improve risk stratification in [cardiac intensive care]."
But the study findings prompt two obvious questions, they suggest," Should patients admitted to intensive cardiac care units be screened for recreational drug use: and What, if any, interventions might be implemented following a positive patient test result?"might shed light on the cause of their condition and inform how it's managed, they suggest. It might have other benefits too.
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