Chiang Joey, Pechan Jaimie, Smith Kate, Kersey Cooper B, Yadava Mrinal, Leyde Sarah, Hidano Danelle
Department of Medicine, University of Washington, Seattle, Washington, USA.
Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA.
JACC Case Rep. 2024 Oct 2;29(19):102598. doi: 10.1016/j.jaccas.2024.102598.
Methamphetamine-associated cardiomyopathy continues to grow within the United States. Although initiation of guideline-directed medical therapy and cessation of methamphetamine are cornerstones of therapy, many barriers to guideline-directed medical therapy use exist for patients with methamphetamine-associated cardiomyopathy. This paper presents a case series of patients who demonstrated profound clinical and echocardiographic improvement with engagement in a community heart failure program paired with the use of alarmed pill containers to target medication adherence.
在美国，甲基苯丙胺相关性心肌病的病例持续增加。尽管遵循指南的药物治疗和停用甲基苯丙胺是治疗的基石，但对于甲基苯丙胺相关性心肌病患者而言，在使用遵循指南的药物治疗方面存在许多障碍。本文介绍了一系列病例，这些患者通过参与社区心力衰竭项目并使用带有警报装置的药盒来确保药物依从性，在临床和超声心动图方面均有显著改善。
