Concerns about heart health amid the opioid, meth epidemic

By Lucy Soto, American Heart Association News

DNY59, Getty Images
(DNY59, Getty Images)

Dan Willard doesn't remember a thing from those fateful 48 hours. Not what happened to the 32 pills of prescribed painkiller – nor how his daughter dragged his body from the chair to the floor so she could follow the emergency operator's CPR instructions.

But he knows what led up to it all. The 65-year-old retired 911 dispatcher from the small Wichita suburb of Goddard, Kansas, had begun abusing the pills prescribed after surgery for an old back injury. Spasms exacerbated by degenerative disc disease kept him from sleeping. So, he began taking muscle relaxers, too.

"My body was in such a mess and such a spiral downward that it became so abusive, and of course I was as most people probably are, constantly in denial," Willard said. "They look at the statistics on the news every night and say, 'This can't happen to me.'"

According to the National Institute on Drug Abuse, about 1 in 4 patients who are prescribed opioids for chronic pain misuse them. And every day, more than 130 people in the United States die after opioid overdoses.

While worries about the dangers of drug use and overdosing have hit homes all over the country, there also is a growing concern, and a new raft of studies, about the cardiovascular dangers emerging from opioid and methamphetamine abuse.

A study in November showed opioid use may increase the risk of atrial fibrillation, or AFib, a type of irregular heart rhythm that can lead to a stroke. The study included medical records of more than 857,000 young and middle-age military veterans and showed opioid use increases the likelihood of AFib by 34 percent.

A New York Times story last spring highlighted the growing problem of endocarditis, a deadly heart infection, that is happening in people who are injecting methamphetamines and opioids such as heroin.

In December, the American Heart Association launched self-directed training courses for health care providers and community members to help raise awareness about what to do in an opioid overdose, including CPR instruction and use of drugs like naloxone, which can help reverse an opioid overdose.

The problem doesn't seem to respect any boundary, said Dr. Isac Thomas, an assistant professor at the University of California, San Diego School of Medicine.

"It touches all ages and economic brackets. There are some definite cardiovascular impacts from taking these drugs," said Thomas, who helped lead two recent studies suggesting a growing epidemic of meth-induced heart failure, especially among younger adults.

"Addiction is a disease, and you have huge swaths of people across the country who are dealing with this disease, and then the vast new heart issues that arise," he said. "It's something I don't know if we are equipped just yet in our routine practice to deal or cope with. … We have to reeducate ourselves and involve other disciplines," such as addiction counselors and social workers to care for these patients.

Dan Willard with his daughter. (Photo courtesy of Dan Willard)
Dan Willard with his daughter, Ashley, a few years before his cardiac arrest. (Photo courtesy of Dan Willard)

Willard said he sees miracles throughout his story. He's grateful for the second chance – and that his daughter, who was 21 at the time, didn't hesitate in following the CPR instructions until the ambulance arrived. It's an irony not lost on someone who spent 22 years answering emergency calls and dispatching ambulances.

After Nov. 4, 2017, a day he now calls his new birthday, Willard asked his doctor not to prescribe any more muscle relaxers. But he still has to take something to help with the physical pain. So, he asked his wife and daughter to take over dispensing those pills.

"With their help, I can be on track and not be tempted," he said. "I think I can deal with the pain more knowing that I have other people really depending on me to be around. I was in denial, but I'm finally on the right path."

This past summer, the county's emergency medical services hosted a celebration to reunite cardiac arrest survivors with first responders. Willard said there was "only one person who survived a cardiac event from an opioid overdose, and that was me."

If you have questions or comments about this story, please email [email protected].

American Heart Association News Stories

American Heart Association News covers heart disease, stroke and related health issues. Not all views expressed in American Heart Association News stories reflect the official position of the American Heart Association. Statements, conclusions, accuracy and reliability of studies published in American Heart Association scientific journals or presented at American Heart Association scientific meetings are solely those of the study authors and do not necessarily reflect the American Heart Association’s official guidance, policies or positions.

Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved. Permission is granted, at no cost and without need for further request, for individuals, media outlets, and non-commercial education and awareness efforts to link to, quote, excerpt from or reprint these stories in any medium as long as no text is altered and proper attribution is made to American Heart Association News.

Other uses, including educational products or services sold for profit, must comply with the American Heart Association’s Copyright Permission Guidelines. See full terms of use. These stories may not be used to promote or endorse a commercial product or service.

HEALTH CARE DISCLAIMER: This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and experiencing a medical emergency, call 911 or call for emergency medical help immediately.