Drug abuse and ACS in the very young (less than 30 years): Demographic, clinical and angiographic profile.

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Indian heart journal Pub Date : 2024-09-01 Epub Date: 2024-10-10 DOI:10.1016/j.ihj.2024.10.003

Shibba Takkar Chhabra, Gurleen Kaur, Samir Kapoor, Aastha Kapila, Gagandeep Kaur, Prannav Jain, Pankaj Kumar, Namita Bansal, Mamta Bansal, Anshuman Gupta, Akash Batta, Gautam Singal, Abhishek Goyal, Rohit Tandon, Naved Aslam, Bishav Mohan, Gurpreet Singh Wander

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Abstract

Aim: To identify incidence, type of drug abuse study clinical and angiographic profile in very young population presenting with acute coronary syndrome (ACS).

Materials and methods: All consecutive patients less than 30 years with ACS included and segregated into Group 1 and 2 (with and without drug abuse respectively) RESULT: n = 153; n = 17 in group 1 of whom 35.29 % consumed opium, 17.64 % energy drinks, 17.64 % whey protein supplements, 17.64 % inhaled marijuana, 5.88 % heroin and spasmoproxyvon and 23.52 % multi-substance abusers. STEMI, Single vessel disease and urban domicile were predominant. Rising trends of drug abuse were identified in prospective (28.20 %) versus retrospective (5.30 %) timeframe (p = 0.011).

Conclusion: Rising trends of drug abuse, a potentially modifiable risk factor of ACS in the young are alarming. Strict regulations are needed to curb this menace.

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年轻人（30 岁以下）的药物滥用与 ACS：人口统计学、临床和血管造影概况。

目的：确定急性冠状动脉综合征（ACS）年轻患者的发病率、药物滥用类型、临床和血管造影情况：结果：n = 153；n = 17 在第 1 组，其中 35.29 % 饮用鸦片，17.64 % 饮用能量饮料，17.64 % 饮用乳清蛋白补充剂，17.64 % 吸食大麻，5.88 % 吸食海洛因和痉丙氧芬，23.52 % 滥用多种药物。STEMI、单血管疾病和城市户籍患者占多数。在前瞻性（28.20%）与回顾性（5.30%）时间框架内，发现药物滥用呈上升趋势（P = 0.011）：结论：药物滥用的上升趋势令人担忧，它可能是年轻人发生 ACS 的一个可改变的风险因素。需要制定严格的法规来遏制这一威胁。

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来源期刊

Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

52 days

期刊介绍： Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.