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382991

Cardiac Profile Assessment of Acute Opioid Intoxicated Addicted Patients Admitted to General Hospitals of Port Said and Damietta Governorates

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Forensic medicine and clinical toxicology.

Abstract

Substance abuse continues to be a significant global public health issue. With the availability of more potent medications and an increasing variety of drugs and their combinations, preventing and treating drug abuse disorders represents a formidable challenge. It necessitates a comprehensive strategy encompassing education, prevention, treatment, and recovery support. In addition to the rapidly rising fatality rate caused by drug overdose, non-fatal overdoses have also been linked to renal failure, aspiration pneumonia, cardiovascular and musculoskeletal disorders, and cognitive impairment. The nationwide mortality rate due to heroin overdose has risen by almost 15-fold since 1999. This phenomenon is mostly attributed to the common use of fentanyl in addition to heroin, an opioid that has a lethality 50-100 times greater than that of morphine. The increase in opioid misuse has led to the emergence of many often unnoticed symptoms of toxicity, especially among young victims. A plethora of clinical and experimental studies investigating the impact of opium on the cardiovascular system have consistently shown many adverse consequences. Principal results include QT interval elongation, bradycardia, torsade de pointes arrhythmia, and coronary artery abnormalities. Extension of the QT duration interval seems to be the most frequent adverse effect in the heart of synthetic opioids. Cardiovascular issues associated with opioids may elevate the mortality risk. Therefore, we investigate the cardiovascular characteristics of individuals experiencing acute opioid intoxication to identify further anomalies in their cardiac profile during acute addicted opioid poisoning.

DOI

10.21608/muj.2024.317837.1182

Keywords

opioids, Overdose, Acute intoxication, Cardiovascular Profile

Authors

First Name

Mohamed

Last Name

Hemeda

MiddleName

s

Affiliation

Department of Forensic Medicine and Clinical Toxicology. Faculty of Medicine – Port Said University

Email

mohamudsadawy@med.psu.edu.eg

City

elohosinia

Orcid

0009-0005-2721-5591

First Name

Heba

Last Name

Youssef

MiddleName

-

Affiliation

Department of Forensic Medicine and Clinical Toxicology. Faculty of Medicine – Port Said University

Email

heba.mohamed@med.psu.edu.eg

City

-

Orcid

-

First Name

Rawan

Last Name

Ghaly

MiddleName

M

Affiliation

Department of Forensic Medicine and Clinical Toxicology. Faculty of Medicine – Port Said University

Email

rawangaly@med.psu.edu.eg

City

-

Orcid

-

First Name

Amany

Last Name

Mostafa

MiddleName

A

Affiliation

Department of Forensic Medicine and Clinical Toxicology. Faculty of Medicine – Port Said University

Email

dramanyfortox2020@gmail.com

City

-

Orcid

-

Volume

20

Article Issue

20

Related Issue

52075

Issue Date

2025-01-01

Receive Date

2024-09-02

Publish Date

2025-01-01

Page Start

11

Page End

29

Online ISSN

2682-2741

Link

https://muj.journals.ekb.eg/article_382991.html

Detail API

https://muj.journals.ekb.eg/service?article_code=382991

Order

382,991

Type

Review Article

Type Code

951

Publication Type

Journal

Publication Title

Medicine Updates

Publication Link

https://muj.journals.ekb.eg/

MainTitle

Cardiac Profile Assessment of Acute Opioid Intoxicated Addicted Patients Admitted to General Hospitals of Port Said and Damietta Governorates

Details

Type

Article

Created At

24 Dec 2024