Author + information
- Alexis Rodriguez,
- Vikas Singh,
- Ghanshyambhai Savani,
- Badal Thakkar,
- Nileshkumar Patel,
- Carlos Alfonso,
- Mauricio Cohen,
- Raul Mitrani,
- Juan Viles-Gonzalez and
- Jeffrey Goldberger
Background: The outcomes related to chest pain associated with cocaine use and its burden on healthcare system are not well studied.
Methods: Data were collected from the Nationwide Inpatient Sample (2001 — 2012). Subjects were identified by using the ICD-9-CM codes. Primary outcome was a composite of mortality, myocardial infarction (MI), stroke and cardiac arrest.
Results: We identified 363,143 admissions for cocaine induced chest pain. Mean age was 44.9 (+ 21.1) years with male predominance. Left heart catheterizations were performed in 6.7%, whereas the frequency of acute MI was 0.69% and PCIs 0.22% respectively. The in-hospital mortality was 0.09% and the primary outcome occurred in 1.19% of patients. Predictors of primary outcome included female sex, age > 50, heart failure, supraventricular tachycardia, endocarditis, tobacco use, dyslipidemia, CAD and renal failure. The total annual projected economic burden ranged from $155 to $226 million with an accruement of over $2 billion in a decade. We present a scoring system which stratifies patients into low (score≤15), intermediate (score= 16-30) and high risk (score ≥31).
Conclusions: Hospital admissions due to chest pain and concomitant cocaine use are associated with very low rates of acute MI, PCIs and mortality. For the low risk cohort in whom ACS has been ruled out, hospitalization may not be beneficial and may result in unnecessary cardiac procedures.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Updates on Risk Factors for Cardiovascular Disease
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1187-053
- 2017 American College of Cardiology Foundation