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Canadian Journal of Cardiology

Do Energy Drinks Really Give You Wings? Left Ventricular Assist Device Therapy as a Bridge to Recovery for an Energy Drink-Induced Cardiomyopathy

Published:September 27, 2019DOI:https://doi.org/10.1016/j.cjca.2019.09.011

      Abstract

      The deleterious effect of energy drinks is increasingly recognized. We present a 26-year-old woman with inotrope-dependent severe dilated cardiomyopathy, potentially caused by chronic ingestion of energy drinks. The results of extensive investigation—consisting of cardiac magnetic resonance, F-18-fluorodesoxyglucose-positron emission tomography, coronary angiography, and endomyocardial biopsy—were normal. A left ventricular assist device (LVAD) was implanted as a potential bridge to recovery. After 10 months of mechanical support and pharmacological treatment, cardiac function was recovered, and the LVAD was successfully explanted. This is the first case report of energy drink abuse leading to severe heart failure requiring mechanical support for recovery.

      Résumé

      L’effet délétère des boissons énergisantes est de plus en plus reconnu. Nous présentons le cas d’une femme de 26 ans atteinte d’une cardiomyopathie dilatée sévère avec dépendance aux inotropes, possiblement causée par l’ingestion chronique de boissons énergisantes. Les résultats d’examens exhaustifs – notamment une résonance magnétique cardiaque, une tomographie par émission de positrons au 18F-fluorodésoxyglucose, une coronarographie et une biopsie endomyocardique – étaient normaux. Un dispositif d’assistance ventriculaire gauche a été implanté afin de favoriser le rétablissement. Après 10 mois d’assistance mécanique et de traitement pharmacologique, la fonction cardiaque de la patiente s’était rétablie et le dispositif d’assistance ventriculaire a pu être retiré. Il s’agit du premier cas rapporté de consommation abusive de boissons énergisantes ayant mené à une insuffisance cardiaque sévère exigeant le recours à une assistance mécanique pour favoriser le rétablissement.
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