CC BY-NC-ND 4.0 · Journal of Cardiac Critical Care TSS 2018; 02(02): 102-104
DOI: 10.1055/s-0039-1685133
Case Report
Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU)

Illicit Drugs Breaking One Heart at a Time

Ayman Battisha
1  Department of Internal Medicine, University of Massachusetts-Baystate, Springfield, Massachusetts, United States
› Author Affiliations
Further Information

Publication History

Publication Date:
12 June 2019 (online)

  

Abstract

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.