title: Stimulant-related Takotsubo cardiomyopathy.
abstract: Takotsubo cardiomyopathy (TC) is a rare but increasingly recognized mimic of acute coronary syndrome. Patients present with angina,ST-segment changes on electrocardiogram (both elevations and depressions),and rapid rises in cardiac biomarkers. Many kinds of stressful events have been associated with TC, but only a handful of drug-related cases have previously been reported. We describe the case of a 58-year-old woman who developed TC 2 days after crack cocaine use, a diagnosis first suggested as bedside echocardiography in the emergency department.Recognition of the classic echocardiographic appearance of TC—apical hypokinesis causing “ballooning” of the left ventricle during systole—may greatly assist providers in the early identification of this condition.
authors.affiliation: Tulane University Medical Center, New Orleans, LA. Electronic address: mcbutterfield@gmail.com.
authors.forename: Mike
authors.initials: M
authors.lastname: Butterfield
authors.affiliation: Highland General Hospital, Oakland, CA.
authors.forename: Christine
authors.initials: C
authors.lastname: Riguzzi
authors.affiliation: Highland General Hospital, Oakland, CA.
authors.forename: Oron
authors.initials: O
authors.lastname: Frenkel
authors.affiliation: Highland General Hospital, Oakland, CA.
authors.forename: Arun
authors.initials: A
authors.lastname: Nagdev
mesh_terms: D000697:Central Nervous System Stimulants / Q000009:adverse effects; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced* / Q000150:complications; D014662:Vasoconstrictor Agents / Q000009:adverse effects*
chemical_list: D000697:Central Nervous System Stimulants; D014662:Vasoconstrictor Agents; D003042:Cocaine