Cardiac Arrest in Patients Who Smoke Crack Cocaine

The aim of the study is to determine the clinical features and outcomes of cocaine users admitted to the hospital after cardiac arrest and compare them with nonusers. Cocaine is associated with cardiovascular complications, including ventricular arrhythmias; however, resuscitated cardiac arrest in r...

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Bibliographic Details
Published in:The American journal of cardiology 2007-03, Vol.99 (6), p.822-824
Main Authors: Hsue, Priscilla Y., MD, McManus, David, MD, Selby, Van, MD, Ren, Xiushui, MD, Pillutla, Priya, MD, Younes, Naji, PhD, Goldschlager, Nora, MD, Waters, David D., MD
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Aged
Biological and medical sciences
Cardiac arrhythmia
Cardiology
Cardiology. Vascular system
Cardiopulmonary Resuscitation
Cardiovascular
Case-Control Studies
Clinical outcomes
Cocaine
Comparative studies
Crack Cocaine - adverse effects
Drug addiction
Drug use
Emergency Service, Hospital
Female
Heart Arrest - chemically induced
Heart Arrest - diagnosis
Heart Arrest - epidemiology
Heart Arrest - mortality
Heart Arrest - pathology
Heart Arrest - therapy
Humans
Male
Medical Records
Medical sciences
Middle Aged
Patient admissions
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
San Francisco - epidemiology
Street Drugs - adverse effects
Survival Analysis
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Summary:The aim of the study is to determine the clinical features and outcomes of cocaine users admitted to the hospital after cardiac arrest and compare them with nonusers. Cocaine is associated with cardiovascular complications, including ventricular arrhythmias; however, resuscitated cardiac arrest in relation to cocaine use is not a well-defined clinical entity. We reviewed available hospital charts at San Francisco General Hospital with the International Classification of Diseases, Ninth Revision diagnosis of cardiac arrest and cocaine use from 1994 to 2006. Clinical features and outcomes of cocaine users were compared with those of randomly selected control patients and age-matched controls with resuscitated cardiac arrest without cocaine use. We identified 22 patients with resuscitated cardiac arrest in the setting of cocaine use. Their average age was 42 ± 10 years, >20 years younger than nonusers (68 ± 16 years, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2006.10.044