Home inotrope therapy in chronic stimulant-induced cardiomyopathy: a case series.

ABSTRACT:

Background

Patients with chronic stimulant-induced cardiomyopathy presenting with cardiogenic shock can be stabilized with conventional measures. However, their management post-stabilization has not been well described and poses unique challenges: (i) less chance of myocardial recovery compared to acute stimulant-induced cardiomyopathy, (ii) psychosocial barriers to left ventricular assist device (LVAD) and heart transplantation, and (iii) concern for use of peripherally inserted central catheter for home inotrope in those with a history of substance abuse.

Case summary

Three patients with chronic stimulant-induced cardiomyopathy were admitted with cardiogenic shock progressing to Society for Cardiovascular Angiography & Interventions stage D or E. They were stabilized with

SUBMITTER: Joseph M 

PROVIDER: S-EPMC11336994 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature