Heart failure due to 'stress cardiomyopathy': A severe manifestation of the opioid withdrawal syndrome

European Heart Journal: Acute Cardiovascular Care

Volumn 2, Issue 1, 2013, Pages 84-87

  Spadotto, Veronica ^a   Zorzi, Alessandro ^a   Elmaghawry, Mohamed ^a,b   Meggiolaro, Marco ^c   Pittoni, Giovanni Maria ^c  

^a UNIVERSITY OF PADOVA   (Italy)

^b Aswan Heart Center   (Egypt)

^c UNIVERSITY HOSPITAL OF PADOVA   (Italy)

Author keywords

Apical ballooning; Heart failure; Methadone; Opioids; Stress cardiomyopathy; Tako tsubo

Indexed keywords

CLONIDINE; DOBUTAMINE; FUROSEMIDE; METHADONE; TROPONIN I;

ADULT; ARTICLE; CASE REPORT; CONSCIOUSNESS LEVEL; ELECTROCARDIOGRAPHY; ENDOTRACHEAL TUBE; FEMALE; HEART FAILURE; HEART LEFT VENTRICLE FAILURE; HUMAN; INFECTION; INTERVERTEBRAL DISK DEGENERATION; LUNG EDEMA; MENINGITIS; PRIORITY JOURNAL; QT PROLONGATION; QUADRIPLEGIA; RESPIRATORY DISTRESS; TAKOTSUBO CARDIOMYOPATHY; THORAX RADIOGRAPHY; WITHDRAWAL SYNDROME;

EID: 84894674158     PISSN: 20488726     EISSN: 20488734     Source Type: Journal    
DOI: 10.1177/2048872612474923     Document Type: Article

References (19)

1. Kurowski V, Kaiser A, von Hof K, et al. Apical and mid- ventricular transient left ventricular dysfunction syndrome (tako-tsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest 2007; 132: 809-816.
2. Sinning Ch, Keller T, Abegunewardene N, et al. Tako-Tsubo syndrome: dying of a broken heart? Clin Res Cardiol 2010; 99: 771-780.
3. Madhavan M and Prasad A. Proposed Mayo Clinic criteria for the diagnosis of Tako-Tsubo cardiomyopathy and longterm prognosis. Herz 2010; 35: 240-243.
4. Ehret GB, Voide C, Gex-Fabry M, et al. Drug-induced long QT syndrome in injection drug users receiving methadone: high frequency in hospitalized patients and risk factors. Arch Intern Med 2006; 166: 1280-1287.
5. Migliore F, Zorzi A, Perazzolo Marra M, et al. Typical and atypical Takotsubo syndrome in the same patient. Int J Cardiol 2012; 162: e28-e30.
6. Perazzolo M, Zorzi A, Corbetti F, et al. Apico-basal gradient of left ventricular myocardial edema underlies transient T-wave inversion and QT interval prolongation (Wellens' ECG pattern) in Tako-Tsubo cardiomyopathy. Heart Rhythm 2012; 10: 70-77.
7. Migliore F, Zorzi A, Peruzza F, et al. Incidence and management of life-threatening arrhythmias in Takotsubo syndrome. Int J Cardiol 2012 (Epub ahead of print).
8. Lassnig E, Weber T, Auer J, et al. Pheochromocytoma crisis presenting with shock and tako-tsubo-like cardiomyopathy. Int J Cardiol 2009; 134: 138-140.
9. Litvinov IV, Kotowycz MA and Wassmann S. Iatrogenic epinephrine-induced reverse. Takotsubo cardiomyopathy: direct evidence supporting the role of cathecolamines in the pathophysiology of the 'broken heart syndrome'. Clin Res Cardiol 2009; 98: 457-462.
10. Amariles P. A comprehensive literature search: drugs as possible triggers of Takotsubo cardiomyopathy. Curr Clin Pharmacol 2011; 6: 1-11.
11. Rivera JM, Locketz AJ, Fritz KD, et al. 'Broken heart syndrome' after separation (from Oxycontin). Mayo Clin Proc 2006; 81: 825-828.
12. Biswas AK, Feldman BL and Davis DH. Myocardial ischemia as a result of severe benzodiazepine and opioid withdrawal. Clin Toxicol 2005; 43: 207-209.
13. Lemesle F, Lemesle F and Nicola W. First case of stress cardiomyopathy as a result of methadone withdrawal secondary to drug-drug interaction. Am J Emerg Med 2010; 28: 387.
14. Saiful FB, Lafferty J, Jun CH, et al. Takotsubo cardiomyopathy due to iatrogenic methadone withdrawal. Rev Cardiovasc Med 2011; 12: 164-167.
15. Kosten TR and O'Connor PG. Management of drug and alcohol withdrawal. N Engl J Med 2003; 348: 1786-1795.
16. Eap CB, Buclin T and Baumann P. Interindividual variability of the clinical pharmacokinetics of methadone: implication for the treatment of opioid dependence. Clin Pharmacokinet 2002; 41: 1153-1193.
17. Gold MS, Redmond DE and Kleber HD. Clonidine blocks acute withdrawal-opioid symptoms. Lancet 1978; 312: 599-602.
18. Gold MS and Pottash AC. The neurobioloical implications of clonidine HCl. Ann NY Acad Sci 1981; 362: 191-202.
19. Hoffman WE, McDonald T and Berkowitz R. Simultaneous increases in respiration and sympathetic function during opioid detoxification. J Neurosurg Anesthesiol 1998; 10: 205-210.