Department of Cardiology, National Center for Global Health and Medicine.
Department of Cardiology, Odawara Cardiovascular Hospital.
Int Heart J. 2021 Nov 30;62(6):1411-1413. doi: 10.1536/ihj.21-139. Epub 2021 Nov 6.
A 27-year-old Caucasian male traveler with well-controlled asthma was admitted to our hospital because of severe heart failure (HF). He had a history of cocaine use. Transthoracic echocardiography (TTE) showed severe diffuse hypokinesis of the left ventricle (LV) and a large mobile thrombus in the LV. He was treated with diuretics, inotropes and anticoagulants which led to small improvements in the HF and LV thrombus, however, he needed to undergo left ventricular assist device (LVAD) implantation and surgical removal of a residual LV thrombus due to inotrope-dependency.It is necessary to consider the possibility of cocaine or illicit drug use in a young individual with cardiovascular disease or sudden death even in Japan where cocaine and drugs are prohibited by law, as recreational drug use has been increasing in many countries around the world.
一位 27 岁的白人男性旅行者，患有控制良好的哮喘，因严重心力衰竭（HF）入院。他有可卡因使用史。经胸超声心动图（TTE）显示左心室（LV）严重弥漫性运动障碍和左心室中一个大的活动血栓。他接受了利尿剂、正性肌力药和抗凝治疗，这导致心力衰竭和左心室血栓有所改善，但由于对正性肌力药物的依赖，他需要接受左心室辅助装置（LVAD）植入和残余左心室血栓的手术切除。即使在可卡因和其他毒品在法律上被禁止的日本，对于患有心血管疾病或突然死亡的年轻个体，也有必要考虑可卡因或非法药物使用的可能性，因为在世界上许多国家，娱乐性药物使用正在增加。
