Heartbreakers: Decoding the Molecular Dynamics of Stimulants Abuse on the Cardiovascular System.

Discoveries (Craiova, Romania) Pub Date : 2025-05-10 eCollection Date: 2025-04-01 DOI:10.15190/d.2025.6
Cristina Mihaela Stirbu, Anisia-Cristiana Vasiliniuc, Anda Vasiliu, Elisa Anamaria Liehn
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Abstract

This comprehensive review explores the intricate relationship between stimulants abuse, particularly involving caffeine, amphetamines, methylphenidate and cocaine, offering a detailed and insightful overview of the multifaceted consequences of stimulant drug use on the cardiovascular system. Substance abuse is a medical and socioeconomic issue, which should be regarded properly with respect to its multifaceted implications. For instance, chronic usage exponentially increases the cardiovascular risk, leading to high morbidity and mortality rates. Arrhythmias, atherosclerosis, thrombosis and ischemia are just some of the direct effects of stimulants on vessels and heart, which lead in time to more severe pathological changes, such as hypertension, cardiomyopathies, valvulopathies, myocardial infarction, peripheral artery disease and other cerebrovascular diseases. The different approaches and diverse perspectives of this review, highlight the clinical significance of this complex field. Moreover, opportunities for further research and exploration are pointed out, thus  promoting public education, personalized medical approaches, and targeted interventions to mitigate the substantial morbidity and mortality linked to stimulant abuse. Hopefully, this effort will enhance public cardiovascular well-being.

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心碎:解码兴奋剂滥用对心血管系统的分子动力学。
这篇全面的综述探讨了兴奋剂滥用之间的复杂关系,特别是涉及咖啡因、安非他明、哌醋甲酯和可卡因,提供了兴奋剂药物使用对心血管系统的多方面后果的详细和深刻的概述。药物滥用是一个医学和社会经济问题,应从其多方面影响方面加以适当看待。例如,长期使用会成倍增加心血管风险,导致高发病率和死亡率。心律失常、动脉粥样硬化、血栓和缺血只是兴奋剂对血管和心脏的一些直接作用,及时导致更严重的病理改变,如高血压、心肌病、瓣膜病、心肌梗死、外周动脉疾病等脑血管疾病。这篇综述的不同方法和不同的观点,突出了这一复杂领域的临床意义。此外,还指出了进一步研究和探索的机会,从而促进公共教育、个性化医疗方法和有针对性的干预措施,以减少与兴奋剂滥用有关的大量发病率和死亡率。希望这一努力能改善公众的心血管健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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