Kim, Yeunjung
Pacor, Justin M. http://orcid.org/0000-0002-4412-2654
Do, Albert
Brennan, Joseph
Fiellin, David A.
Edelman, E. Jennifer
Article History
Received: 20 October 2020
Accepted: 5 January 2022
First Online: 14 November 2022
Declarations
:
: The authors declare that they do not have a conflict of interest.
: There are no sponsors.
: <b>Competency in Medical Knowledge</b>Opioid use has been implicated in ischemic heart disease, and studies have shown its impact on the absorption of antiplatelet therapy in acute coronary syndrome.
: Opioid users are receiving differing management of acute coronary syndrome compared to non-opioid usersĀ and require a high index of suspicion from a multidisciplinary care team to address pain, addiction, and stigmas, in addition to guideline-directed therapy for acute coronary syndrome.
: Although this is an observational study, a notable increase in mortality for opioid users in acute coronary syndrome requires a well-designed cohort study to look at underlying causes of death.
: A high rate of deferral for coronary angiography in opioid users should be evaluated in larger registries such as the National Cardiovascular Data Registry (NCDR). Whether deferred patients received appropriate medical management should also be evaluated to assess improvement in inpatient outcomes.
Free to read: This content has been made available to all.