Cocaine-related aortic dissection: what do we know?
Rev. bras. cir. cardiovasc
;
35(5): 764-769, Sept.-Oct. 2020. tab
Artigo
em Inglês
| LILACS, SES-SP
| ID: biblio-1137334
ABSTRACT
Abstract Introduction:
Cocaine use is known to be associated with an increased risk for vascular diseases. It is likely to trigger or increase the risk for an aortic dissection. We conducted an analysis of 45 cases of cocaine-related aortic dissection to further characterize the clinical features and outcomes of this patient cohort.Methods:
Our study cohort of 45 patients consisted of 11 cases from our institutional database and 34 published case reports.Results:
The observed cases of acute aortic dissection related to cocaine use showed a high proportion of young (41.3±8.67 years) and male (88.9%) patients. Most of the cases (75%) were classified as Stanford type A. Also, in 75% of the cases, cocaine use was prevalent for more than one year. Median time from last cocaine use to onset of symptoms was one hour. In-hospital mortality was 21.4%, while additional 11.9% of the cases died before arriving at the hospital.Conclusion:
Acute aortic dissection related to cocaine use occurs in predominantly young male patients and has a dismal outcome when compared to all comer series.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Cocaína
/
Transtornos Relacionados ao Uso de Cocaína
/
Dissecção Aórtica
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Charité Universitätsmedizin Berlin/DE
/
German Heart Center Berlin/DE
/
Universidade de Pernambuco (UPE)/BR
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