Evidence map›Paper›PMID 31450861›Full record

ReviewJournal of clinical medicine2019

A Mechanistic and Pathophysiological Approach for Stroke Associated with Drugs of Abuse.

Aristides Tsatsakis, Anca Oana Docea, Daniela Calina, Konstantinos Tsarouhas, Laura-Maria Zamfira, Radu Mitrut, Javad Sharifi-Rad, Leda Kovatsi, Vasileios Siokas, Efthimios Dardiotis and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 4 pooled it
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 4 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Does illicit drug use increase stroke risk? A systematic review, meta-analyses, and Mendelian randomization analysis.International journal of stroke : official journal of the International Stroke Society · 2026
    Pooled it
  2. Pooled it
  3. Synthetic Cathinones and Neurotoxicity Risks: A Systematic Review.International journal of molecular sciences · 2023
    Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Effects of ΔCannabis and cannabinoid research · 2024
    Article
  13. Potential of CBD Acting on Cannabinoid Receptors CBInternational journal of molecular sciences · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Amphetamine Positivity Prior to Burn Surgery Does not Adversely Affect Intraoperative Outcomes.Journal of burn care & research : official publication of the American Burn Association · 2024
    Article
  19. Article
  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 4 countries.

Aristides TsatsakisCenter of Toxicology Science & Research, Medical School, University of Crete, 71003 Heraklion, Crete, Greece.
Anca Oana DoceaDepartment of Toxicology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania. ancadocea@gmail.com.
Daniela CalinaDepartment of Clinical Pharmacy, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania. calinadaniela@gmail.com.
Konstantinos TsarouhasDepartment of Cardiology, University Hospital of Larissa, 41221 Larissa, Greece.
Laura-Maria ZamfiraDepartment of Clinical Pharmacy, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Radu MitrutDepartment of Pathology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Javad Sharifi-RadZabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol 61615-585, Iran.
Leda KovatsiLaboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, 54248 Thessaloniki, Greece.
Vasileios SiokasDepartment of Neurology, Stroke Unit, University of Thessaly, University Hospital of Larissa, 41221 Larissa, Greece.
Efthimios DardiotisDepartment of Neurology, Stroke Unit, University of Thessaly, University Hospital of Larissa, 41221 Larissa, Greece.
Nikolaos DrakoulisResearch Group of Clinical Pharmacology and Pharmacogenomics, Faculty of Pharmacy, School of Health Sciences, National and Kapodistrian University of Athens, 15771 Athens, Greece.
George LazopoulosDepartment of Cardiothoracic Surgery, University General Hospital of Heraklion, University of Crete, Medical School, 71003 Heraklion, Crete, Greece.
Christina TsitsimpikouDepartment of Hazardous Substances, Mixtures and Articles, General Chemical State Laboratory of Greece, 10431 Athens, Greece.
Panayiotis MitsiasDepartment of Neurology, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Monica NeaguDepartment of Immunology, Victor Babes National Institute of Pathology, 050096 Bucharest, Romania. neagu.monica@gmail.com.
University of Crete · GRUniversity of Medicine and Pharmacy of Craiova · ROUniversity of Thessaly · GRAristotle University of Thessaloniki · GRClinical Emergency Hospital Bucharest · ROGeneral Chemical State LaboratoryInstitutul National Victor Babes · RONational and Kapodistrian University of Athens · GRUniversity Hospital of Larissa · GRZabol University of Medical Sciences · IR

Funding

Ministry of Research and Innovation in Romania PN-III-P1-1.2-PCCDI-2017-0341/2018, PN 19.29.01.01
6 · The paper itself

Abstract

Drugs of abuse are associated with stroke, especially in young individuals. The major classes of drugs linked to stroke are cocaine, amphetamines, heroin, morphine, cannabis, and new synthetic cannabinoids, along with androgenic anabolic steroids (AASs). Both ischemic and hemorrhagic stroke have been reported due to drug abuse. Several common mechanisms have been identified, such as arrhythmias and cardioembolism, hypoxia, vascular toxicity, vascular spasm and effects on the thrombotic mechanism, as causes for ischemic stroke. For hemorrhagic stroke, acute hypertension, aneurysm formation/rupture and angiitis-like changes have been implicated. In AAS abuse, the effect of blood pressure is rather substance specific, whereas increased erythropoiesis usually leads to thromboembolism. Transient vasospasm, caused by synthetic cannabinoids, could lead to ischemic stroke. Opiates often cause infective endocarditis, resulting in ischemic stroke and hypereosinophilia accompanied by pyogenic arthritis, provoking hemorrhagic stroke. Genetic variants are linked to increased risk for stroke in cocaine abuse. The fact that case reports on cannabis-induced stroke usually refer to the young population is very alarming.

Indexed as

amphetaminesanabolic androgenic steroidscannabiscocaineheroinmorphinestrokesynthetic cannabinoids

Identifiers

PMID31450861
PMCPMC6780697
OpenAlexW2969244006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.