González Martínez A, Julià i Serra MC. Episodio coronario agudo relacionado con el consumo de cocaína. Enferm Cardiol 2001; 23:25:30.

Due to the increasing consumption of cocaine which has been increasingly noticed for about two decades, we believe that it is necessary to have a better understanding of its effects in cardiovascular illness.
There are numerous reports relating cocaine consumption with severe coronary episodes. Most of this evidence is based upon the proximity between cocaine consumption and coronary episodes.
The most recent research (NHANES III, published in the Circulation magazine in January 2001), shows that frequent cocaine consumption (it is considered >10 times a year), increases the probability for young people to present an isquemic episode.
In this research, based upon a sample of 10085 people between 18 and 45 years old, the prevalence of frequent cocaine consumption was 5.3% and the percentage of risk attributed to this population was estimated at 25%, which means that 1 out of every 4 severe coronary episodes, suffered by people between 18 and 45 years old, can be attributed to frequent cocaine consumption.
The effects of cocaine consumption in the cardio circulatory system are:
A. Acute effects:
It potentiates the adrenergic activity: It increases the ventricular contractibility and cardiac frequency which brings about an increase in the oxygen demand.
It produces a coronary vasoconstriction which favours the vaso-spasm.
It increases the platelet aggregation.
It produces a depression of the ventricular function and arrhythmia.
Hypersensitivity: myocarditis.
B. Chronic effects:
Chronic cocaine consumption favours the development of coronary arteriosclerosis.

First Award in the 22nd Spanish Congress of Nursing in Cardiology, Caceres, 2001.

Díaz Schuffeneger P, García García JA, Lobo Rodríguez AI, Ruiz Fernández M.   Control y registro, por enfermería, de la tensión arterial en el episodio anginoso. Enferm Cardiol 2001; 23:31-34.

Nursing register is a part of a nurse daily activity and it reflects the main work in our profession: the attention paid to our patients.  We believe that the quality in nursing registers is a key element for the general treatment of the ill and, because of this, we have centred our research in a very specific part of nursing registers and graphs which are those oriented towards the coronary patient and, more particularly, those registers which refer to pain and blood pressure, both treated as a whole due to the close relation of these parameters in the patient who has been diagnosed as having an isquemic cardiopathy.  We have proposed formulae that have improved and updated our nursing work, based on graph and computer registers that have allowed the decrease of time invested in registering and noting down, in favour of direct caring of the patient.

Second Award in the 22nd Spanish Congress of Nursing in Cardiology, Caceres, 2001.

Muñoz Izquierdo MA, Peiró Andrés MA.   Material y métodos en un artículo científico. Enferm Cardiol 2001; 23:35-39.

Muñoz Izquierdo MA, Peiró Andrés MA.

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