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Takotsubo Cardiomyopathy Due to Iatrogenic Methadone Withdrawal

2011; IMR Press; Volume: 12; Issue: 3 Linguagem: Inglês

10.3909/ricm0600

2153-8174

Faisal Saiful, James Lafferty, Chin Hee Jun, Sumaya Teli, Srinivas Duvvuri, Saakshi Khattri, Tariq Bhat,

Pericarditis and Cardiac Tamponade

Takotsubo cardiomyopathy is a syndrome characterized by transient apical ballooning or reversible midventricular systolic dysfunction. Most cases occur in postmenopausal women and are typically triggered by an acute medical illness or emotional or physical stress. Its presentation is highly suggestive of myocardial ischemia, but there is little or no evidence of epicardial coronary artery disease. To our knowledge there are only three reported cases in the literature of Takotsubo cardiomyopathy induced by opioid agonist withdrawal in adults; ours is the first reported case of iatrogenic methadone withdrawal leading to Takotsubo cardiomyopathy.