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Case Report
A case of transient right ventricular failure secondary to severe pulmonary hypertension in setting of methamphetamine use
1 Internal Medicine, Southeast Health Medical Center, Dothan, Alabama, USA
2 Internal Medicine, Alabama College of Osteopathic Medicine, Dothan, Alabama, USA
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Paramjit Kaur
Internal Medicine, Southeast Health Medical Center, Dothan, Alabama,
USA
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Article ID: 100013C03PK2022
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Kaur P, Fatmi S, Shakil S, Mandyam S, Abdalslam B. A case of transient right ventricular failure secondary to severe pulmonary hypertension in setting of methamphetamine use. Edorium J Cardiol 2022;7(2):6–10.ABSTRACT
Methamphetamine has been documented to be associated with pulmonary hypertension. Past studies have shown the association of methamphetamine abuse with pulmonary hypertension; however, cases of isolated acute to subacute right heart failure secondary to methamphetamine use have not been documented. Acute to subacute right heart failure, secondary to methamphetamine use itself represents a diagnostic challenge as there is no specific protocol in place for evaluation for pulmonary hypertension secondary to methamphetamine use and high degree of suspicion is needed to differentiate it from other cardio-pulmonary conditions. Echocardiographic findings of increased right ventricular systolic pressure along with morphological findings suggesting cardiac remodeling in the setting of methamphetamine use is highly suspicious of acute to subacute right heart failure. Early recognition and management, along with long-term abstinence from methamphetamine use is critical to prevent chronic effects on myocardium and to prevent further cardiac remodeling. Although dedicated cardiothoracic imaging and cardiac catheterization can be beneficial; neither of these modalities are needed to establish the diagnosis and to initiate primary interventions. Computed tomography (CT) scan however would be beneficial in excluding other causes of pulmonary hypertension, such as primary pulmonary conditions and pulmonary embolism.
Keywords: Dilated right ventricle, Methamphetamine, Paroxysmal nocturnal dyspnea, Pulmonary artery hypertension, Right ventricular failure
SUPPORTING INFORMATION
Author Contributions
Paramjit Kaur - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Syed Fatmi - Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sidra Shakil - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Saikiran Mandyam - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Bsmah Abdalslam - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestThe authors declare that the case study was not associated with any commercial or financial relationships that could be construed as potential conflict of interest.
Copyright© 2022 Paramjit Kaur et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
