Key result
Medical management of cocaine-induced cardiomyopathy rapidly improves LVEF to 44% in a case report.
Case Report (n=1)
No
Cocaine-induced cardiomyopathy can present with severely reduced ejection fraction that may rapidly recover within days following cessation and medical management.
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Rapid LVEF recovery may occur with cessation and medical therapy in cocaine cardiomyopathy; single case leaves generalizability and durability open.
A 33-year-old male presented with shortness of breath and altered mental status. The urine toxicology test was positive for cocaine and fentanyl. The patient underwent a 2D echocardiogram showing severely reduced ejection fraction (EF) and global hypokinesia. He was diagnosed with cocaine-induced cardiomyopathy, which markedly improved four days later.
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Kamel et al. (2023) conducted a case report in Cocaine-induced cardiomyopathy (n=1). Medical management (IV lasix, Farxiga) was evaluated on Ejection fraction. Medical management of a 33-year-old male with cocaine-induced cardiomyopathy resulted in a rapid recovery of left ventricular ejection fraction from 22% to 44% within four days.
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