1
|
Kafle P, Shrestha B, Mandal A, Sharma D, Bhandari M, Amgai B, Khalid M, Sidhu JS, Solaimanzadeh I, Gayam V, Surana R, Dufresne A. Ecstasy induced acute systolic heart failure and Non-Ischemic Cardiomyopathy in a young female: a rare case report and literature review. J Community Hosp Intern Med Perspect 2019; 9:336-339. [PMID: 31528284 PMCID: PMC6735291 DOI: 10.1080/20009666.2019.1650593] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2019] [Accepted: 07/25/2019] [Indexed: 11/06/2022] Open
Abstract
Ecstasy or 3,4-methylenedioxymethamphetamine (MDMA) is an illicit recreational drug. Effects include euphoria, increased sensory awareness, and central stimulation. Although various arrhythmias, as well as dilated cardiomyopathy, have been previously noted to occur with chronic use, cardiac toxicities are seldom reported in an acute setting. Herein, we present a 28-year-old female patient with no prior medical condition that presented to the Emergency Department with chest pain following intake of MDMA. Electrocardiographic findings, as well as laboratories, were suggestive of possible Acute Non-ST elevation myocardial infarction. Upon admission, cardiac catheterization revealed patent coronary arteries. Stark regional wall motion abnormalities were observed along with reduced ejection fraction. Acute systolic heart failure was treated with standard medical management. Subsequent reassessment of ventricular function with Echocardiography revealed marked improvement. This article describes a case of MDMA induced heart failure, including details of evaluation, management, and monitoring of patient progress. It brings further attention to potential acute harmful effects of MDMA on cardiac function and viability.
Collapse
Affiliation(s)
- Paritosh Kafle
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Binav Shrestha
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Amrendra Mandal
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Dikshya Sharma
- Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY, USA
| | - Manjul Bhandari
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Birendra Amgai
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Mazin Khalid
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Jasdeep S Sidhu
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Isaac Solaimanzadeh
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Vijay Gayam
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Rahul Surana
- Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA
| | - Alix Dufresne
- Department of Cardiology, Interfaith Medical Center, Brooklyn, NY, USA
| |
Collapse
|