{"id":218,"date":"2024-09-10T10:52:24","date_gmt":"2024-09-10T08:52:24","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/la-consommation-de-drogues-recreatives-associee-a-des-evenements-cardiovasculaires-a-repetition\/"},"modified":"2024-09-10T10:52:24","modified_gmt":"2024-09-10T08:52:24","slug":"la-consommation-de-drogues-recreatives-associee-a-des-evenements-cardiovasculaires-a-repetition","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/la-consommation-de-drogues-recreatives-associee-a-des-evenements-cardiovasculaires-a-repetition\/","title":{"rendered":"La consommation de drogues r\u00e9cr\u00e9atives associ\u00e9e \u00e0 des \u00e9v\u00e9nements cardiovasculaires \u00e0 r\u00e9p\u00e9tition"},"content":{"rendered":"
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La consommation de drogues r\u00e9cr\u00e9atives est associ\u00e9e \u00e0 un risque tripl\u00e9 de r\u00e9cidive d’\u00e9v\u00e9nement cardiovasculaire grave dans l’ann\u00e9e suivant l’hospitalisation, selon une \u00e9tude pr\u00e9sent\u00e9e au congr\u00e8s 2024 de la Soci\u00e9t\u00e9 europ\u00e9enne de cardiologie, qui s’est tenu du 30 ao\u00fbt au 2 septembre \u00e0 Londres.<\/p>\n

Le Dr Rapha\u00ebl Mirailles, de l’h\u00f4pital Lariboisi\u00e8re \u00e0 Paris, et ses coll\u00e8gues ont \u00e9valu\u00e9 l’impact pronostique de la consommation de drogues r\u00e9cr\u00e9atives un an apr\u00e8s l’hospitalisation pour pr\u00e9dire les \u00e9v\u00e9nements cardiovasculaires et c\u00e9r\u00e9brovasculaires ind\u00e9sirables majeurs (MACCE). L’analyse a port\u00e9 sur 1 392 patients admis dans des unit\u00e9s de soins intensifs cardiaques de 39 centres fran\u00e7ais pendant deux semaines en avril 2021 et suivis pendant un an.<\/p>\n

Les chercheurs ont constat\u00e9 que 11 % des patients avaient initialement \u00e9t\u00e9 test\u00e9s positifs \u00e0 la consommation de drogues r\u00e9cr\u00e9atives. Plus pr\u00e9cis\u00e9ment, le cannabis a \u00e9t\u00e9 identifi\u00e9 dans 9,8 % des cas, l\u2019h\u00e9ro\u00efne et d\u2019autres opio\u00efdes dans 2,3 %, la coca\u00efne dans 1,7 %, les amph\u00e9tamines dans 0,6 % des cas et la 3,4-m\u00e9thyl\u00e8nedioxym\u00e9thamph\u00e9tamine (MDMA) dans 0,6 % des cas. Parmi les patients test\u00e9s positifs, plus d\u2019un quart des patients ont \u00e9t\u00e9 test\u00e9s positifs pour deux drogues ou plus (28,7 %). Au bout d\u2019un an, 7 % des patients ont pr\u00e9sent\u00e9 un MACCE ; ce chiffre \u00e9tait significativement plus \u00e9lev\u00e9 chez les patients dont les tests de d\u00e9pistage de drogues \u00e9taient positifs que chez les non-consommateurs (13 contre 6 %). Ce risque a tripl\u00e9 apr\u00e8s ajustement en fonction de l\u2019\u00e2ge, du sexe, du diab\u00e8te, du statut tabagique actuel, des ant\u00e9c\u00e9dents de maladie cardiovasculaire avant l\u2019hospitalisation, d\u2019une maladie r\u00e9nale chronique connue, des ant\u00e9c\u00e9dents de cancer, du diagnostic principal \u00e0 l\u2019admission, de la pression art\u00e9rielle systolique de base et de la fr\u00e9quence cardiaque de base. Des associations significatives ont \u00e9t\u00e9 observ\u00e9es pour la MDMA (risque accru de 4,1 fois), l\u2019h\u00e9ro\u00efne et d\u2019autres opio\u00efdes (3,6 fois) et le cannabis (1,8 fois) avec des \u00e9v\u00e9nements cardiovasculaires graves.<\/p>\n

\u00ab Malgr\u00e9 un taux \u00e9lev\u00e9 de sous-d\u00e9claration de la consommation de drogues r\u00e9cr\u00e9atives, le d\u00e9pistage syst\u00e9matique n’est pas recommand\u00e9 par les directives actuelles \u00bb, a d\u00e9clar\u00e9 Mirailles dans un communiqu\u00e9. \u00ab Il pourrait am\u00e9liorer la stratification du risque des patients et la prise en charge personnalis\u00e9e pour favoriser le sevrage des drogues. Par cons\u00e9quent, le d\u00e9pistage syst\u00e9mique devrait \u00eatre envisag\u00e9 en soins intensifs. \u00bb<\/p>\n

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La consommation de drogues r\u00e9cr\u00e9atives est associ\u00e9e \u00e0 un risque tripl\u00e9 de r\u00e9cidive d’\u00e9v\u00e9nement cardiovasculaire<\/p>\n","protected":false},"author":1,"featured_media":204,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[76,78,33,16,74,77,75,79],"class_list":["post-218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-addictions","tag-associee","tag-cardiovasculaires","tag-consommation","tag-des","tag-drogues","tag-evenements","tag-recreatives","tag-repetition","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nLa consommation de drogues r\u00e9cr\u00e9atives associ\u00e9e \u00e0 des \u00e9v\u00e9nements cardiovasculaires \u00e0 r\u00e9p\u00e9tition - RVH-Synergie.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rvh-synergie.org\/actualites\/la-consommation-de-drogues-recreatives-associee-a-des-evenements-cardiovasculaires-a-repetition\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La consommation de drogues r\u00e9cr\u00e9atives associ\u00e9e \u00e0 des \u00e9v\u00e9nements cardiovasculaires \u00e0 r\u00e9p\u00e9tition - 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