[Substance-related cardiovascular diseases: definition, distinctive features and clinical implications of a novel nosological entity].
Substance use represents a relevant yet underrecognized determinant of cardiovascular diseases, acting through substance-specific and often multifactorial mechanisms. This document proposes the concept of substance-related cardiovascular diseases (Sr-CVD) as a possible novel nosological entity, outlining its main clinical implications. Available epidemiological and pathophysiological evidence is reviewed, and the clinical, instrumental, and therapeutic-management features of the main cardiovascular conditions associated with substance use are described. These elements support clinical suspicion, differential diagnosis, and a precision medicine approach. In cases where a definite causal relationship cannot be established, the term "cardiovascular diseases in individuals with substance use" is proposed to identify a population at increased cardiovascular risk with specific clinical needs. Sr-CVD represent a heterogeneous group of conditions requiring a structured and multidisciplinary clinical approach. The introduction of this conceptual framework may improve the recognition, management, and prevention of substance-related cardiovascular damage.
Authors
Ciccirillo Ciccirillo, Abrignani Abrignani, Alfarano Alfarano, Amico Amico, Aquaro Aquaro, Bilato Bilato, Binaghi Binaghi, Caldarola Caldarola, Chimenti Chimenti, Corda Corda, De Chiara De Chiara, De Fazio De Fazio, De Luca De Luca, Di Fusco Di Fusco, Di Ienno Di Ienno, Di Marco Di Marco, Di Tano Di Tano, Egidy Assenza Egidy Assenza, Fasoli Fasoli, Garascia Garascia, Geraci Geraci, Gori Gori, Iacoviello Iacoviello, Lucà Lucà , Mannarini Mannarini, Milli Milli, Montalto Montalto, Navazio Navazio, Parrini Parrini, Pascale Pascale, Pisanò Pisanò, Roncon Roncon, Scelsi Scelsi, Scicchitano Scicchitano, Scotto di Uccio Scotto di Uccio, Tizzani Tizzani, Gabrielli Gabrielli, Oliva Oliva, Nardi Nardi, Grimaldi Grimaldi
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