The study detailed on the slide evaluated hospital records from the University of California, San Diego, between 2005–2016, of people with a diagnosis of heart failure.[6] Diagnosis codes and results of urine samples were used to identify people with substance-use disorders.[6] Incidence rate ratios of substance abuse for emergency department visits and/or hospitalizations with a primary diagnosis of heart failure were estimated, and corrected for age, sex, race, insurance status and other diagnoses.[6] Previously a poorly researched area, this analysis highlighted the added burden of substance-use disorders among people with cardiovascular problems. The authors conclude that clinicians should pay attention to the potential for substance-use disorders in this patient group, to improve clinical outcomes.[6]
Reference:
[1] Chelikam N, Vyas V, Dondapati L, et al. Epidemiology, burden, and association of substance abuse Amongst patients with cardiovascular disorders: national cross-sectional survey study. Cureus 2022; 14 (7): e27016.
[2] Pergolizzi JV Jr, Magnusson P, LeQuang JAK, et al. Cocaine and cardiotoxicity: a literature review. Cureus 2021; 13 (4): e14594.
[3] Reece AS, Norman A, Hulse GK. Acceleration of cardiovascular-biological age by amphetamine exposure is a power function of chronological age. Heart Asia 2017; 9 (1): 30–38.
[4] Page RL 2nd, Allen LA, Kloner RA, et al.; American Heart Association Clinical Pharmacology Committee and Heart Failure and Transplantation Committee of the Council on Clinical Cardiology; Council on Basic Cardiovascular Sciences; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; Council on Lifestyle and Cardiometabolic Health; and Council on Quality of Care and Outcomes Research. Medical marijuana, recreational cannabis, and cardiovascular health: a scientific statement from the American Heart Association. Circulation 2020; 142 (10): e131–e152.
[5] Brgdar A, Gharbin J, Elawad A, et al. Effects of substance use disorder on in-hospital outcomes of young patients presenting with a cardiovascular event: a nationwide analysis. Cureus 2022; 14 (3): e22737.
[6] Nishimura M, Bhatia H, Ma J, et al. The impact of substance abuse on heart failure hospitalizations. Am J Med 2020; 133 (2): 207–213.
