静脉注射舌下含服苏波克酮后发生急性非ST段抬高型心肌梗死。

IF 2.1 3区医学 Q2 EMERGENCY MEDICINE

Prehospital Emergency Care Pub Date : 2024-07-23 DOI:10.1080/10903127.2024.2374999

Lucas Belmore, Timothy Ahn, Eric Nguyen, Timothy Lenz

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引用次数: 0

摘要

非 ST 段抬高型心肌梗死（NSTEMI）是注射舌下含服 Suboxone（丁丙诺啡/纳洛酮）的一种相对未知的并发症。丁丙诺啡/纳洛酮应作为舌下片剂或口腔胶片服用，而不应注射，因此这种给药方式的影响尚不清楚。虽然胸痛的鉴别诊断范围很广，但许多医生并不会将胸痛与使用丁丙诺啡/纳洛酮联系起来。我们建议考虑对使用丁丙诺啡/纳洛酮后出现胸痛的患者进行连续心电图检查和高敏肌钙蛋白检查。

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Acute Non-ST Segment Elevation Myocardial Infarction Following Intravenous Injection of Sublingual Suboxone.

Non-ST segment elevation myocardial infarction (NSTEMI) is a relatively unknown complication of injecting sublingual Suboxone (buprenorphine/naloxone). Buprenorphine/naloxone should be taken as a sublingual tablet or a buccal film and not injected, so its effects from this mode of administration are not well known. While the differential diagnosis for chest pain is very broad, many practitioners do not associate chest pain with the use of buprenorphine/naloxone. We recommend considering serial electrocardiograms (ECGs) and high-sensitivity troponins for a patient who presents with chest pain after buprenorphine/naloxone use.

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来源期刊

Prehospital Emergency Care 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.30

自引率

12.50%

发文量

137

审稿时长

1 months

期刊介绍： Prehospital Emergency Care publishes peer-reviewed information relevant to the practice, educational advancement, and investigation of prehospital emergency care, including the following types of articles: Special Contributions - Original Articles - Education and Practice - Preliminary Reports - Case Conferences - Position Papers - Collective Reviews - Editorials - Letters to the Editor - Media Reviews.