Cocaine and stroke.
نویسندگان
چکیده
Drug abuse is a major social and medical problem and has become a significant cause of stroke, especially in young adults. Cocaine is already a commonly used drug, and its new form, "crack," has an enhanced risk of cerebrovascular complications. Because cocaine is now used in nearly epidemic proportions throughout the United States and because crack is a high-potency, essentially pure form of cocaine, it is timely to review the known consequences of this drug on the cerebral and cardiac vasculature.
منابع مشابه
Cracking the Role of Cocaine in Stroke.
See related article, p 918. Cocaine is widely assumed to be a risk factor for stroke, yet good scientific evidence for a causal association between the use of cocaine and ischemic stroke is not as clear as commonly held. Cocaine use is widespread. In 2013, an estimated 24.6 million Americans, ≈9% of the population aged ≥12 years, had used an illicit drug in the past month. Although the majority...
متن کاملSocioeconomic status does not predict cocaine use among ischemic stroke patients: A nested case-control study
Previous studies of cocaine use and stroke have focused on acute effects of cocaine in perceived high-risk populations. We characterized mechanisms and risk factors for cocaine use among ischemic stroke patients from a broad range of socioeconomic backgrounds to inform medical management decisions and prevention efforts. We studied consecutive adults admitted with acute ischemic stroke to our i...
متن کاملCocaine Use and Risk of Ischemic Stroke in Young Adults.
BACKGROUND AND PURPOSE Although case reports have long identified a temporal association between cocaine use and ischemic stroke (IS), few epidemiological studies have examined the association of cocaine use with IS in young adults, by timing, route, and frequency of use. METHODS A population-based case-control study design with 1090 cases and 1154 controls was used to investigate the relatio...
متن کاملConcurrent myocardial and cerebral infarctions after intranasal cocaine use.
BACKGROUND AND PURPOSE Cardiac and cerebrovascular complications associated with cocaine abuse have increasingly been reported, but concurrent development of cocaine-induced cardiac disease and stroke has rarely been reported. CASE DESCRIPTION A 37-year-old man with a remote history of intravenous heroin and amphetamine use, cardiomyopathy, and recent cocaine use developed chest pain and vent...
متن کاملStroke in the young: relationship of active cocaine use with stroke mechanism and outcome.
BACKGROUND Cocaine and other vasoactive substances are known causes of cerebrovascular disease. Ictus during drug intake adversely affects outcome. MATERIALS AND METHODS A retrospective review revealed 42 patients with cocaine abuse and stroke. Aneurysmal bleed occurred in 15 patients; the rest had stroke. The outcome of stroke because of cocaine intoxication was analyzed. RESULTS Mean age ...
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عنوان ژورنال:
- Stroke
دوره 19 6 شماره
صفحات -
تاریخ انتشار 1988