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胺 - 德克斯特罗胺诱导心肌病:一个年轻成者的心力衰竭病例报告
Abdulkreem Al-Juhani1, Eman M Alyaseen2, Saeed Aseri3
1Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Cureus
|November 8, 2024
概括
德克斯胺使用,特别是在注意力缺陷/多动症 (ADHD) 中,越来越多地与年轻成年人的心力衰竭有关. 这一案例凸显了安非他胺诱导的心肌病症以及危险患者需要仔细的心脏监测的必要性.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 精神病学是一个精神病学.
背景情况:
- 德克斯特罗胺诱导的心肌病是青少年和年轻成年人心力衰竭的新兴原因.
- 对注意力缺陷/多动障碍 (ADHD) 的安非他命的使用增加了风险,特别是对认知增强的滥用.
- 意识到安非他-德克斯托安非他使用与心力衰竭之间的联系至关重要.
研究的目的:
- 为了突出使用安非他-德克斯托安非他与心力衰竭之间的联系.
- 介绍一名年轻成年人的安非他胺诱导心肌病的案例研究.
- 强调使用兴奋剂的患者心脏并发症监测的重要性.
主要方法:
- 一个32岁的男性患有心力衰竭和减少喷射率 (HFrEF) 的案例研究.
- 评估患者的病史,包括最近的ADHD诊断和兴奋剂治疗.
- 对患者目前治疗心脏病和并发症的药物治疗方案的审查.
主要成果:
- 该患者被诊断为HFrEF (<10%的喷射分数),归因于安非他命诱导的心肌病.
- 这起案件引发了人们对药物诱导的潜在心肌病变的恶化在治疗ADHD的患者中的担忧.
- 患者接受综合性药物治疗方案,包括阿托瓦斯塔丁,阿司匹林,富洛塞米德,螺旋,埃诺沙巴林,奥梅普拉和卡维迪洛.
结论:
- 胺诱导的心肌病是年轻成年人,特别是那些患有多动症的显著关注.
- 多学科管理和密切监测对于涉及兴奋剂使用和心脏疾病的双重诊断患者至关重要.
- 早期识别和干预是防止心脏进一步恶化的关键.
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