title: Dilated cardiomyopathy following use of xenadrine EFX.
abstract: We describe a case of a 35-year-old man presented at the emergency room of our institution with acute onset of dyspnea and dizziness. He was a body builder and had been using Xenadrine EFX for weight loss reduction. The laboratory analyses were normal. A chest radiograph showed an enlarged cardiac silhouette with clear lung fields. Transtoracic two-dimensional color Doppler echocardiography revealed a diffuse hypokinesia with a marked decreased in systolic function and a high teledyastolic diameter. This case document the possible relation to use of Xenadrine EFX for weight loss and the recurrence of dilated cardiomyopathy.
authors.affiliation: Intensive Cardiology Care Unit, San Camillo De Lellis Hospital, Manfredonia, Foggia, Italy griccioni@hotmail.com.
authors.forename: Graziano
authors.initials: G
authors.lastname: Riccioni
authors.affiliation: Cardiac Surgery, Anthea Hospital, GVM Care and Research, Bari, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Speziale
authors.affiliation: Clinical Biochemistry, University "G. D'Annunzio" Chieti-Pescara, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Scotti
authors.affiliation: Clinical Biochemistry, University "G. D'Annunzio" Chieti-Pescara, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Bucciarelli
authors.affiliation: Intensive Cardiology Care Unit, San Camillo De Lellis Hospital, Manfredonia, Foggia, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Cappetti
authors.affiliation: Cardiac Surgery, Anthea Hospital, GVM Care and Research, Bari, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Nasso
authors.affiliation: Department of Neuroimaging, University "G. D'Annunzio" Chieti-Pescara, Italy.
authors.forename: Sabina
authors.initials: S
authors.lastname: Gallina
authors.affiliation: Clinical Biochemistry, University "G. D'Annunzio" Chieti-Pescara, Italy.
authors.forename: Tonino
authors.initials: T
authors.lastname: Bucciarelli
mesh_terms: D000328:Adult; D019440:Anti-Obesity Agents / Q000009:adverse effects*; D002311:Cardiomyopathy, Dilated / Q000139:chemically induced*; D029789:Ephedra / Q000009:adverse effects*; D006801:Humans; D008297:Male
chemical_list: D019440:Anti-Obesity Agents
keywords: dilated cardiomyopathy; weight loss; xenadrine