REVERSE TAKOTSUBO CARDIOMYOPATHY AND CARDIOGENIC SHOCK ASSOCIATED WITH METHAMPHETAMINE CONSUMPTION

被引:14
作者
Chehab, Omar [1 ]
Ioannou, Adam [1 ]
Sawhney, Akshat [2 ]
Rice, Alexandra [3 ]
Dubrey, Simon [4 ]
机构
[1] Royal Free Hosp, Pond St, London NW3 2QG, England
[2] Imperial Coll, London, England
[3] Royal Brompton & Harefield NHS Fdn Trust, London, England
[4] Hillingdon Hosp, London, England
关键词
cardiogenic shock; heart failure; methamphetamines; reverse Takotsubo cardiomyopathy;
D O I
10.1016/j.jemermed.2017.06.027
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Reverse Takotsubo cardiomyopathy is characterized by transient myocardial hypokinesia affecting predominantly the basal myocardial wall. It is a rare variant of Takotsubo cardiomyopathy affecting younger patients. Case Report: We report a case of a young man who having consumed methamphetamines presented with cardiogenic shock and severe left ventricular systolic dysfunction, affecting predominantly the basal segments with sparing of the apex. After inotropic support, the left ventricular ejection fraction improved. Why Should an Emergency Physician Be Aware of This?: It is important that emergency physicians are aware of the danger of methamphetamine consumption, and how it can lead to potentially fatal acute cardiac syndromes, including reverse Takotsubo cardiomyopathy and cardiogenic shock. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:E81 / E83
页数:3
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