Dai Zhehao, Fukuda Terunobu, Kinoshita Katsuhito, Komiyama Nobuyuki
Department of Cardiovascular Medicine, St Luke's International Hospital, Tokyo, Japan.
Department of Internal Medicine, St Luke's International Hospital, Tokyo, Japan.
CJC Open. 2019 Nov 16;2(1):26-29. doi: 10.1016/j.cjco.2019.11.002. eCollection 2020 Jan.
Inverted takotsubo cardiomyopathy (ITC) is a rare disease that has a strong association with pheochromocytoma and intracranial hemorrhage. We describe the case of a patient who developed ITC after an extra dose, along with chronic exposure, of a weight management supplement containing caffeine and amphetamine-like stimulants, a combination that could potentially raise the local sympathetic tone of the myocardium. The patient was managed conservatively and recovered in 2 months. This report emphasizes the importance of the awareness of the potential association between ITC and the consumption of caffeine and amphetamine-like stimulants.
倒T波型应激性心肌病（ITC）是一种罕见疾病，与嗜铬细胞瘤和颅内出血密切相关。我们描述了一例患者，其在额外服用并长期接触一种含有咖啡因和苯丙胺类兴奋剂的体重管理补充剂后发生了ITC，这种组合可能会潜在地提高心肌局部交感神经张力。该患者接受了保守治疗，并在2个月内康复。本报告强调了认识ITC与摄入咖啡因和苯丙胺类兴奋剂之间潜在关联的重要性。
