Document Detail


Rescue extracorporeal circulation as bridge to recovery in fulminant cocaine-induced heart failure.
MedLine Citation:
PMID:  18336935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cocaine is an increasing cause of admission in the emergency room. The widespread abuse of this drug during the last decade in the USA is now widely emerging in Europe. Because of its various cardio-vascular complications, cocaine is one of the most death-related drugs known at this time. The following report describes the dramatic case of a young man polydrug addict presenting at our institution with life-threatening acute heart failure that developed shortly after his very first cocaine intake. Because of the lack of response to intensive medical treatment, we decided to perform a percutaneous extracorporeal circulation membranous oxygenation (ECMO) that allowed survival and rapid left ventricular function recovery. This report highlights cocaine as a rising trigger of acute heart failure in young people and is, to the best of our knowledge, the first report that illustrates ECMO as an effective hemodynamic support in the course of fulminant cocaine-induced cardiomyopathy.
Authors:
F De Vroey; D Plein; S Vercauteren; M Castadot; P Bettendorf
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Publication Detail:
Type:  Letter     Date:  2008-03-12
Journal Detail:
Title:  International journal of cardiology     Volume:  133     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-06     Completed Date:  2010-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e111-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Cocaine / adverse effects*
Extracorporeal Circulation / methods
Extracorporeal Membrane Oxygenation* / methods
Heart Failure / chemically induced*,  physiopathology,  surgery*
Humans
Male
Young Adult
Chemical
Reg. No./Substance:
50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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