ACUTE COCAINE MYOCARDITIS IN A YOUNG HEALTHY PATIENT.
- Department of Cardiology B, University Hospital of Rabat, Morocco.
- Abstract
- References
- Cite This Article as
- Corresponding Author
Cardiac arrhythmia and acute myocardial ischemia are the most common causes of cocaine-induced sudden cardiac death. However, cocaine induced myocarditis is uncommon. We report a case of a 22-year-old male with no significant medical history who presented with palpitations and atypical chest pain. Interrogation showed recreational drug use, particularly cocaine use through nasal inhaling. ECG was normal, however cardiac enzymes were elevated, and transthoracic echocardiography showed regional wall abnormalities with a preserved left ventricular ejection fraction (LVEF= 60%). Coronary angiography revealed no significant obstructive, and Cardiac MRI, using delayed myocardial enhancement sequence, was consistent with myocarditis.
- Isner JM, Estes NA III, Thompson PD, et al. Acute cardiac events temporally related to cocaine,abuse. N Engl J Med 1986;315:1438?43.
- Virmani R, Robinowitz M, Smialek JE, Smyth DF. Cardiovascular effects of cocaine: an autopsy study of 40 patients. American Heart Journal. 1988; 115(5): 1068-1076.
- Kloner RA, Hale S, Alker K, Rezkalla S. The effects of acute and chronic cocaine use on the heart. Circulation. 1992;85(2):407-419
- Peng SK, French WJ, Pelikan PC. Direct cocaine cardiotoxicity demonstrated by endomyocardial biopsy. Archives of Pathology and Laboratory Medicine. 1989;113(8):842-845
- Friedman RA, Kearney DL, Moak JP, Fenrich AL, Perry JC. Persistence of ventricular arrhythmia after resolution of occult myocarditis in children and young adults. J Am CollCardiol 1994;24:780?3.
[Amine Qat, Zakaria El Arbaoui, Youness Halabi Kettani, Nawal Doghmi and Mohamed Cherti. (2019); ACUTE COCAINE MYOCARDITIS IN A YOUNG HEALTHY PATIENT. Int. J. of Adv. Res. 7 (Mar). 1090-1094] (ISSN 2320-5407). www.journalijar.com
Department of Cardiology B, Ibn Sina University Hospital of Rabat, Morocco
