title: [Severe heart failure due to toxic cardiomyopathy in a young patient--a case report].
abstract: A case of a 26-year-old male with a two-week history of increased dyspnea, weakness and depressed physical tolerance, is presented. Dilated cardiomyopathy due to cardiotoxic effects of toluene was diagnosed. Echocardiography showed left ventricular ejection fraction of 15%. Standard pharmacological treatment, including amiodarone administered due to atrial fibrillation, caused constant clinical improvement, return of sinus rhythm and increase in the ejection fraction to 45%.
authors.affiliation: Klinika Kardiologii AM, Białystok, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Lisowska
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Skibińska
authors.forename: Włodzimierz J
authors.initials: WJ
authors.lastname: Musiał
mesh_terms: D000328:Adult; D000638:Amiodarone / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D004452:Echocardiography; D006333:Heart Failure / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D008297:Male; D012997:Solvents / Q000009:adverse effects; D013318:Stroke Volume / Q000187:drug effects; D014050:Toluene / Q000009:adverse effects*
chemical_list: D000889:Anti-Arrhythmia Agents; D012997:Solvents; D014050:Toluene; D000638:Amiodarone