October 18, 2025Hypertension

Abstract FR612: Cocaine Use, Hypertensive Emergency, and Aortic Dissection: A Nationwide Trend and Outcome Analysis from 2016–2021

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Cocaine use is associated with a 2.33-fold increase in the odds of hypertensive emergency, highlighting significant health risks.
Among 1.77 million admissions, only 0.6% involved cocaine use, but hypertensive emergencies rose by 23% in this subgroup from 2016 to 2021.
Logistic regression analysis identified important demographic patterns, showing that Black patients had 15.4 times higher odds of cocaine use with hypertensive emergencies.
Despite higher acuity in cocaine users, lower in-hospital mortality rates were observed, raising questions about standard management practices.

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Nationwide analysis finds cocaine use significantly increases hypertensive emergency and aortic dissection risks, suggesting demographic disparities.

Philip et al. (2025) studied this question.

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Nationwide analysis finds cocaine use significantly increases hypertensive emergency and aortic dissection risks, suggesting demographic disparities.