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Vol. 223. Issue 7.
Pages 450-455 (August - September 2023)
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Vol. 223. Issue 7.
Pages 450-455 (August - September 2023)
Brief Original
Chest pain secondary to drug use treated in hospital emergency departments in Spain
Dolor torácico secundario al consumo de drogas atendidos en urgencias hospitalarias en España
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D. Ibrahim-Achia,b, S. Pelizzolo-Vegaa, J. Puiguriguerc, A. Supervíad, M. Galiciae, A. Domínguez-Rodríguezf,g, O. Miróe,h, G. Burillo-Putzeg,h,
Corresponding author
gburillo@telefonica.net

Corresponding author.
a School of Health Sciences, Universidad de La Laguna, Tenerife, Spain
b Emergency Department, Hospital Universitario de Canarias, Tenerife, Spain
c Emergency Department-Clinical Toxicology Unit, Hospital Son Espases, Palma de Mallorca, Spain
d Emergency Department-Clinical Toxicology Unit, Hospital del Mar, Barcelona, Spain
e Emergency Department, Hospital Clínic, Barcelona, Spain
f Department of Cardiology, Hospital Universitario de Canarias, Tenerife, Spain
g Department of Health Sciences, Universidad Europea de Canarias, Tenerife, Spain
h Primary Care Research Network on Addiction (RIAPAd), Spain
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Table 1. Demographic characteristics, drug groups involved, and clinical and healthcare aspects of the patients included in the study.
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.

Keywords:
Chest pain
Illegal drugs
Cocaine
Cannabis
Hospital emergency department
Resumen
Objetivo

Conocer las características de los pacientes con dolor torácico (DT) asociado al consumo reciente de drogas.

Método

Estudio de los casos del Registro REUrHE atendidos en Urgencias de 11 hospitales españoles por DT tras el consumo de drogas de uso recreacional.

Resultados

El DT supuso el 8,97% de las asistencias (varones 82,9%, p<0,001). La cocaína estaba presente en el 70% de los casos, seguida del cannabis (35,7%) y las anfetaminas y derivados (21,4%). La clínica inicial más frecuente fue: palpitaciones (45,5%, p<0,001), ansiedad (42,5%, p<0,001), hipertensión (13,6%, p<0,001) y arritmias (5,9%, p<0,001). Recibieron más tratamiento los pacientes con DT (81,9% vs 74,1%; p<0,001), aunque ingresaron menos (7,6%, p=0,0), sin diferencias en cuanto a maniobras de RCP, sedación, intubación, o ingreso en cuidados intensivos (1,9%).

Conclusiones

En el DT tras una intoxicación aguda por drogas predomina el uso de la cocaína, aunque aumentan los casos por consumo de cannabis.

Palabras clave:
Dolor torácico
Drogas ilegales
Cocaína
Cannabis
Urgencias hospitalarias

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