ACC: Cocaine/Marijuana may up mortality in younger MI patients

March 14, 2018

(HealthDay)—Cocaine and/or marijuana use is present in about 10 percent of myocardial infarction (MI) patients age ≤50 years and is associated with increased mortality, according to a study published online March 10 in the Journal of the American College of Cardiology. The research was published to coincide with the annual meeting of the American College of Cardiology, held from March 10 to 12 in Orlando, Fla.

Ersilia M. DeFilippis, M.D., from Brigham and Women's Hospital in Boston, and colleagues examined the prevalence of cocaine and use in adults with their first MI at ≤50 years. Records of patients presenting with a Type 1 MI from 2000 to 2016 were reviewed. Data were included for 2,097 patients with Type 1 MI who were followed for a median of 11.2 years.

The researchers found that 10.7 percent of patients overall had use of cocaine (4.7 percent) and/or marijuana (6.0 percent). The rates of diabetes and hyperlipidemia were significantly lower among individuals with substance use, while tobacco use was significantly more likely. After adjustment for baseline covariates, there was a correlation for use of cocaine and/or marijuana with significantly higher cardiovascular and all-cause mortality (hazard ratios, 2.22 and 1.99, respectively).

"These findings reinforce current recommendations for substance use screening among young adults with an MI, and highlight the need for counseling to prevent future adverse events," the authors write.

Several authors disclosed to the .

Explore further: Incomplete revascularization in PCI linked to higher mortality

More information: Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
More Information

Related Stories

Incomplete revascularization in PCI linked to higher mortality

January 5, 2018
(HealthDay)—The risk of mortality is increased for certain patients undergoing percutaneous coronary intervention (PCI) with incomplete revascularization (IR), according to a study published online Dec. 27 in JAMA Cardiology.

Abdominal obesity linked to all-cause mortality in HFpEF

November 28, 2017
(HealthDay)—For patients with heart failure with preserved ejection fraction (HFpEF), abdominal obesity is associated with increased risk of all-cause mortality, according to a study published in the Dec. 5 issue of the ...

Type 2 myocardial infarction definition impacts prognosis

September 20, 2017
(HealthDay)—Definition of type 2 myocardial infarction (T2MI) using a method that does not require the presence of coronary artery disease is associated with a lower event-related mortality rate, according to a study published ...

Beta-blocker use not linked to reduced mortality after AMI

June 1, 2017
(HealthDay)—β-blocker use is not associated with reduced mortality after acute myocardial infarction (AMI) without heart failure or left ventricular systolic dysfunction (LVSD), according to a study published in the June ...

Better outcomes for cardiology care in newly diagnosed A-fib

June 27, 2017
(HealthDay)—For patients with newly diagnosed atrial fibrillation (AF), cardiology care is associated with improved outcomes versus primary care, according to a study published in the July 4 issue of the Journal of the ...

App to help treat substance abuse approved

September 14, 2017
(HealthDay)—The U.S. Food and Drug Administration has approved its first mobile app to help treat substance abuse, the agency said Thursday in a news release.

Recommended for you

Majority of U.S. adults have poor heart health: study

March 19, 2018
(HealthDay)—America's heart health went from bad to worse between 1988 and 2014, a new report warns.

Drinking alcohol makes your heart race

March 18, 2018
The more alcohol you drink, the higher your heart rate gets, according to research presented today at EHRA 2018 Congress, organized by the European Society of Cardiology.

Study of nearly 300,000 people challenges the 'obesity paradox'

March 15, 2018
The idea that it might be possible to be overweight or obese but not at increased risk of heart disease, otherwise known as the "obesity paradox", has been challenged by a study of nearly 300,000 people published in in the ...

Mending broken hearts with cardiomyocyte molds

March 13, 2018
2.5 billion. That's approximately the number of times the human heart beats in 70 years. And sometimes during the course of its unrelenting contractions and relaxations, the heart muscle can no longer bear the strain.

Common infections a bigger heart disease and stroke risk than obesity

March 13, 2018
A major study into the impact of common infections leading to hospitalisation has found they may substantially increase the risk of heart attacks, strokes and in the longer term, death.

Aspirin prevents venous thromboembolism following major orthopedic surgeries, study finds

March 13, 2018
A multicentre, double-blind, randomized, controlled clinical trial of patients who underwent total hip or knee replacement surgery showed that aspirin was as effective as rivaroxaban, the standard anti-coagulation medication, ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.