Int J Cardiol. 2009 Apr 17;133(3):e111-3. doi: 10.1016/j.ijcard.2007.12.038. Epub 2008 Mar 12.
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.
可卡因是导致急诊室入院的一个日益增加的原因。这种药物在过去十年中在美国的广泛滥用，现在在欧洲也广泛出现。由于其各种心血管并发症，可卡因是目前已知与死亡相关的最主要药物之一。以下报告描述了一位年轻的多药滥用者的戏剧性病例，他在我院就诊，因摄入第一口可卡因后不久就发生危及生命的急性心力衰竭。由于对强化治疗反应不佳，我们决定进行经皮体外循环膜氧合 (ECMO)，这使得他得以存活并迅速恢复左心室功能。本报告强调了可卡因是年轻人急性心力衰竭的一个上升触发因素，据我们所知，这是首例报告表明 ECMO 在暴发性可卡因诱导性心肌病的过程中作为有效的血流动力学支持。
