Document Detail


Emergency department presentations with suspected acute coronary syndrome--frequency of self-reported cocaine use.
MedLine Citation:
PMID:  19584737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to assess the prevalence of self-reported cocaine use in individuals presenting to the Emergency Department (ED) with suspected myocardial ischaemia/acute coronary syndrome (ACS). A retrospective review (1 January to 31 December 2008) of all suspected myocardial ischaemia/ACS presentations to our ED was undertaken. Basic demographic data and use/nonuse of cocaine were recorded from notes; where appropriate the route of use, concomitant use of other recreational drugs/ethanol, presenting features and treatment(s) were extracted. Self-reported cocaine use was recorded in 54 (1.9%) of the 2810 presentations. The mean+/-SD age of those who self-reported the use of cocaine (28.9+/-9.0) was significantly lower than those who did not (52.3+/-12.7) (P<0.0001). Twenty (37.0%) of those with cocaine use had one or more features of potential cocaine (sympathomimetic) toxicity at presentation to the ED. In conclusion, self-reported recent cocaine use was documented in a clinically significant minority of patients with suspected myocardial ischaemia/ACS.
Authors:
Christopher R Bishop; Paul I Dargan; Shaun L Greene; Francesca Garnham; David M Wood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  17     ISSN:  1473-5695     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-26     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  164-6     Citation Subset:  IM    
Affiliation:
Emergency Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / diagnosis,  epidemiology,  etiology*
Adolescent
Adult
Chest Pain / etiology
Cocaine / adverse effects*
Emergency Service, Hospital / statistics & numerical data*
Female
Great Britain / epidemiology
Humans
Male
Middle Aged
Prevalence
Retrospective Studies
Self Disclosure*
Substance-Related Disorders / complications*,  epidemiology
Troponin T / blood
Young Adult
Chemical
Reg. No./Substance:
0/Troponin T; 50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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