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

Can stem cells help a diseased heart heal itself? Researchers achieve important milestone

December 14, 2018
A team of Rutgers scientists, including Leonard Lee and Shaohua Li, have taken an important step toward the goal of making diseased hearts heal themselves—a new model that would reduce the need for bypass surgery, heart ...

Your weight history may predict your heart failure risk

December 12, 2018
In a medical records analysis of information gathered on more than 6,000 people, Johns Hopkins Medicine researchers conclude that simply asking older adult patients about their weight history at ages 20 and 40 could provide ...

Higher risk of heart attack on Christmas Eve

December 12, 2018
The risk of heart attack peaks at around 10pm on Christmas Eve, particularly for older and sicker people, most likely due to heightened emotional stress, finds a Swedish study in this week's Christmas issue of The BMJ.

New understanding of mysterious 'hereditary swelling'

December 12, 2018
For the first time ever, biomedical researchers from Aarhus University, Denmark, report cellular defects that lead to a rare disease, hereditary angioedema (HAE), in which patients experience recurrent episodes of swelling ...

Age is the biggest risk for heart disease, but lifestyle and meds have impact

December 12, 2018
Of all the risk factors for heart disease, age is the strongest predictor of potential trouble.

Researchers have found that incidence of heart failure was around two-fold higher in people with diabetes

December 11, 2018
Researchers have found that incidence of heart failure was around two-fold higher in people with diabetes.

0 comments

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.