Mean age in years (+SD) |
32.4 + 7.7 |
Male sex – N (%) |
86 (80.4 %) |
Residency |
|
Dutch citizen |
86 (80.4 %) |
Tourist |
21 (19.6 %) |
Risk factors – N (%) |
|
History of cardiovascular disease |
5 (4.7 %) |
Smoking |
74 (69.2 %) |
Family history of cardiovascular disease |
18 (16.8 %) |
Diabetes |
2 (1.9 %) |
Hypertension |
5 (4.7 %) |
Hypercholesterolemia |
5 (4.7 %) |
Other drugs |
26 (24.3 %) |
No Risk factors |
|
Self-reported Cocaine use – N (%) |
100 (93.5 %) |
Time between last use and presentation ED/chest pain unit – N (%) |
|
0–3 h |
|
4–6 h |
46 (42.9 %) |
7–24 h |
17 (15.9 %) |
>24 h |
26 (24.4 %) |
Unknown |
16 (14.8 %) |
|
2 (1.9 %) |
Route of ingestion – N (%) |
|
Nasal |
68 (63.6 %) |
Smoking |
3 (2.8 %) |
Intravenous |
0 (0.0 %) |
Unknown |
36 (33.6 %) |
ECG – N (%) |
|
Normal |
81 (75.7 %) |
Abnormal but not ischaemic |
23 (21.5 %) |
Ischaemic changes |
3 (2.8 %) |
Vitals at presentation – N (%) |
|
Systolic blood pressure |
|
<90 mmHG |
1 (0.9 %) |
90 – 139 mmHG |
70 (65.4 %) |
>140 mmHG |
36 (33.6 %) |
Diastolic blood pressure |
|
<90 mmHG |
69 (64.5 %) |
>90 mmHG |
38 (35.5 %) |
Temperature |
|
<36 C |
6 (5.6 %) |
36–37.9 C |
81 (75.7 %) |
>38 C |
5 (4.7 %) |
Unknown |
15 (14.0 %) |
Heart rate |
|
<60/min |
3 (2.8 %) |
60–100/min |
71 (66.4 %) |
>100/min |
33 9(0.8 %) |
Respiratory rate |
|
<12/min |
10 (9.3 %) |
12–20/min |
79 (73.8 %) |
>20/min |
18 (16.8 %) |
Saturation |
|
<90 % |
3 (2.8 %) |
90–94 % |
4 (3.7 %) |
>95 % |
100 (93.5 %) |
Troponin – N (%) |
|
0 h troponin |
|
<5 ng/L |
43 (40.2 %) |
5–14 ng/L |
59 (55.1 %) |
>14 ng/L |
5 (4.7 %) |
1 h troponin |
|
<5 ng/L |
24 (22.4 %) |
5–14 ng/L |
46 (43.0 %) |
>14 ng/L |
2 (1.9 %) |
not measured |
35 (32.7 %) |
3 h troponin |
|
<5 ng/L |
15 (14.0 %) |
5–14 ng/L |
42 (39.3 %) |
>14 ng/L |
5 (4.7 %) |
not measured |
45 (42.1 %) |
Urine toxicology screen – N (%) |
|
Cocaine |
107 (100 %) |
Cannabis |
37 (34.6 %) |
Amphetamine |
11 (10.3 %) |
Methamphetamine/Ecstasy |
13 (12.1 %) |
Benzodiazepines |
21 (19.6 %) |
Opiates |
2 (1.9 %) |
Methadone |
0 (0.0 %) |
Phencyclidine |
0 (0.0 %) |
Barbiturates |
0 (0.0 %) |
|
|
GRACE score – N (%) |
|
Low risk (0−108) |
97 (90.7 %) |
Intermediate risk (109−139) |
0 (0.0 %) |
High risk (>140) |
0 (0.0 %) |
Unknown |
10 (9.3 %) |
HEART score – N (%) |
|
Low risk (0−3) |
103 (96.3 %) |
Intermediate risk (3−6) |
3 (2.8 %) |
High risk (7−10) |
0 (0.0 %) |
Unknown |
1 (0.9 %) |