Title
Takotsubo Cardiomyopathy precipitated by opiate withdrawal
Publication Date
2018
Journal Title
Heart Lung
Abstract
© 2017 Elsevier Inc. Introduction Takotsubo Cardiomyopathy is a transient non-ischemic cardiomyopathy usually characterized by apical ballooning of the left ventricle, with electrocardiographic changes and enzyme release, without evidence of obstructive coronary artery disease. Typically seen in stress induced situations, in post-menopausal females, this condition may have a predilection for patients with dependency disorders. Case The following is a case in which Takotsubo Cardiomyopathy was induced by withdrawal from opiate medications. Followed by resolution of symptoms after restarting maintenance opioid therapy. Discussion We feel health care professionals should be aware of this possibility in such a patient population especially when they have demonstrated cardiovascular symptomatology. Given the prevalence of opiate use both recreational and iatrogenic, the index of suspicion for opiate-withdrawal induced cardiomyopathy should be high in the presence of cardiac symptomatology.
Volume Number
47
Issue Number
1
Pages
73 - 75
Document Type
Article
Status
Faculty; Northwell Researcher; Northwell Resident
Facility
School of Medicine; Northwell Health
Primary Department
General Internal Medicine
Additional Departments
Cardiology
PMID
DOI
10.1016/j.hrtlng.2017.10.001