可卡因使用与不稳定的住房妇女的LVMI增加有关,而使用多种物质的女性使用多种物质
Akshay Ravi1, Eric Vittinghoff2, Alan H B Wu3
1Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Substance abuse
|October 13, 2023
概括
可卡因使用在不稳定住房的妇女中显著增加左心室质量指数 (LVMI),表明直接的心脏影响. 常规的兴奋剂查可以防止心脏损伤在弱势群体.
科学领域:
- 心血管研究的心血管研究.
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 药物使用会影响心血管健康,但同时使用的研究不足.
- 无家可归和住房不稳定的妇女面临着独特的健康挑战.
- 左心室质量指数 (LVMI) 是心脏结构和健康的关键指标.
研究的目的:
- 检查在不稳定的住房妇女同时使用物质和LVMI之间的关联.
- 确定有助于心脏结构变化的特定物质.
- 为临床风险评估和预防护理提供信息.
主要方法:
- 一项对194名住房不稳定的妇女 (2016-2019) 的队列研究.
- 毒理学查证实了39种物质的使用.
- 跨胸腔心声学测量了基线的LVMI.
主要成果:
- 可卡因使用与LVMI显著增加 (18%以上) 独立相关.
- 尼古丁,甲基胺,酒精和阿片类药物与LVMI没有显著的关联.
- 没有发现可卡因与其他物质之间的显著相互作用.
结论:
- 可卡因使用对脆弱女性的心脏结构产生不利影响.
- 可卡因和LVMI之间的关联似乎是直接的,不仅仅由血压介导.
- 将兴奋剂使用评估纳入日常护理可以减轻心脏损伤.
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