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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References
- Energy drinks and their adverse health effects : A systematic review of the current evidence.Postgr Med. 2015; 127: 308-322
- STEMI associated with overuse of energy drinks.Case Rep Emerg Med. 2015; 2015: 9-11
- Reverse Takotsubo cardiomyopathy associated with the consumption of an energy drink.Circulation. 2012; 125: 1584-1585
- The DAWN Report: Update on Emergency Department Visits Involving Energy Drinks: A Continuing Public Health Concern.(Available at:)https://www.samhsa.gov/data/sites/default/files/DAWN126/DAWN126/sr126-energy-drinks-use.htmDate accessed: July 1, 2019
- Voluntary and Mandatory Rockstar Energy Drink.(Reports on 5-Hour Energy, Monster Energy, and Available at:)
Article info
Publication history
Published online: September 27, 2019
Accepted:
September 19,
2019
Received:
July 28,
2019
Footnotes
See page 317.e3 for disclosure information.
Identification
Copyright
© 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
