Illicit Drugs Breaking One Heart at a Time
12 June 2019 (online)
Takotsubo cardiomyopathy (TCM) is triggered by multiple physical and psychological stressors and frequently mimics acute coronary syndrome. Acute alcohol intoxication as a trigger for TCM has been rarely reported as TCM is usually associated with alcohol withdrawal, not intoxication. The authors report a 41-year-old woman with polysubstance and alcohol abuse history, who presented with acute alcohol intoxication and electrocardiogram demonstrating ventricular tachycardia with syncope. Laboratory parameters revealed elevated Troponin-I and metabolic acidosis. Coronary angiogram was unrevealing for coronary atherosclerosis and she was managed conservatively for acute heart failure from TCM.
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