クレイク・コカインに関連した急性大動脈解剖
Priscilla Y Hsue1, Cynthia L Salinas, Ann F Bolger
1Division of Cardiology, San Francisco General Hospital, CA 94110, USA.
Circulation
|April 3, 2002
まとめ
コカインの使用,特にクラックコカインは,都市部の人口における急性大動脈解剖の一般的な原因です. この状態は,しばしば若い個人に影響し,迅速な医療の検討を必要とします.
科学分野:
- 心臓病学 心臓病学
- 毒理学 毒理学 毒理学
- 公衆衛生は公衆衛生である.
背景:
- 急性大動脈解剖は,生命を脅かす状態です.
- コカイン使用との関連は広く認められていない.
- コカイン関連の大動脈解剖の特徴は未定義のままである.
研究 の 目的:
- コカイン関連の急性大動脈解剖の特徴を定義する.
- コカイン使用者における大動脈解剖の有病率を評価する.
主な方法:
- ICD-9で診断された大動脈解剖の病院の病歴 (1981年-2001年) を遡及的にレビューする.
- 急性大動脈解剖の38症例の分析.
- コカイン関連および非コカイン関連解剖群の比較.
主要な成果:
- 急性大動脈解剖の14% (37%) はコカイン使用 (主にクラックコカイン) と関連していた.
- コカイン関連の解剖は,若い患者,しばしば治療されていない高血圧の黒人の患者で発生しました.
- コカインの使用と症状の発症の間の間隔は平均12時間でした.
結論:
- クレイクコカイン使用に関連した急性大動脈解剖は,都市部の人口の中で一般的です.
- これは,おそらくコカイン誘発の高血圧とカテキオラミン放出によるものです.
- 重度の胸痛と大動脈解剖の疑いがある患者の場合,コカインの使用を検討してください.
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