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Cardiac magnetic resonance predicts reversibility of cocaine-induced ventricular dysfunction
1Netcare Blaauwberg Hospital, Sunningdale, Cape Town. jansmedema@hotmail.com
Insights
Cocaine-induced cardiomyopathy can cause severe heart failure. This case report shows full recovery of heart function after cocaine abstinence, highlighting magnetic resonance imaging
Area of Science:
- Cardiology
- Toxicology
Background:
- Cocaine abuse is a significant cause of cardiovascular disease.
- Cocaine-induced cardiomyopathy presents as heart failure, often with biventricular involvement.
Observation:
- A 30-year-old female presented with severe biventricular congestive heart failure.
- Cardiac MRI revealed no myocardial edema or focal fibrosis.
Findings:
- Systolic ventricular function fully recovered after 10 weeks of cocaine abstinence.
- Magnetic resonance imaging (MRI) provided insights into cocaine-induced cardiomyopathy.
Implications:
- This case is the first to report MRI findings in cocaine-induced cardiomyopathy.
- Cardiac MRI may be valuable in evaluating patients with cocaine-induced heart failure.
Abstract:
A 30-year-old Caucasian female was admitted with severe biventricular congestive heart failure secondary to cocaineinduced cardiomyopathy. Contrast-enhanced cardiac magnetic resonance did not reveal myocardial oedema or focal fibrosis. The systolic ventricular function recovered fully after 10 weeks of abstinence from cocaine and supportive medical treatment. This case report is the first to describe findings with magnetic resonance for this condition, and briefly discusses its potential value in the evaluation of patients with cocaine-induced heart failure.
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