Cardiac magnetic resonance predicts reversibility of cocaine-induced ventricular dysfunction.
A 30-year-old Caucasian female was admitted with severe biventricular congestive heart failure secondary to cocaineinduced cardiomyopathy. Contrast-enhanced cardiac magnetic resonance did not reveal myocardial oedema or focal fibrosis. The systolic ventricular function recovered fully after 10 weeks of abstinence from cocaine and supportive medical treatment. This case report is the first to describe findings with magnetic resonance for this condition, and briefly discusses its potential value in the evaluation of patients with cocaine-induced heart failure.
Smedema
J P
JP
Netcare Blaauwberg Hospital, Sunningdale, Cape Town. jansmedema@hotmail.com
D000328:Adult; D002317:Cardiovascular Agents / Q000627:therapeutic use; D019970:Cocaine-Related Disorders / Q000150:complications*; D005260:Female; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D011237:Predictive Value of Tests; D020127:Recovery of Function; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000188:drug therapy / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology
D002317:Cardiovascular Agents