A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine
Misuse of stimulants similar to amphetamine is a universal problem. These stimulants cause many complications in their abusers. However, myocardial infarction is rarely reported as a complication of amphetamine abuse. Herein, we report a man aged 42 years presented at the Emergency Department with t...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2019-04-01
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| Series: | Pharmaceutical and Biomedical Research |
| Subjects: | |
| Online Access: | http://pbr.mazums.ac.ir/article-1-226-en.html |
| _version_ | 1818178807611260928 |
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| author | Farhad Gholami Seyed Hamzeh Hosseini Amirhossein Ahmadi Maryam Nabati |
| author_facet | Farhad Gholami Seyed Hamzeh Hosseini Amirhossein Ahmadi Maryam Nabati |
| author_sort | Farhad Gholami |
| collection | DOAJ |
| description | Misuse of stimulants similar to amphetamine is a universal problem. These stimulants cause many complications in their abusers. However, myocardial infarction is rarely reported as a complication of amphetamine abuse. Herein, we report a man aged 42 years presented at the Emergency Department with the chief complaint of acute dyspnea following ice inhalation without history of dyspnea. Within the first hour and a half of admission, the patient was treated by nasal oxygen and bronchodilator aminophylline. However, he did not respond to the initial treatment and lost his consciousness; showed ventricular fibrillation, cardiac arrest, and hemodynamic instability. So, cardiopulmonary resuscitation was immediately initiated for him. The patient was intubated, mechanically ventilated. Also, the synchronized electrical shock was delivered 5 times (200-360 J) along with amiodarone (300 mg intravenously [IV] stat, then 1 mg/min IV infusion for 6 hours and next 0.5 mg/min for 18 hours) to treat the ventricular fibrillation. The arrhythmia was subsequently controlled, and his normal sinus rhythm was resumed. Two hours later, condition of the patient improved, and he was extubated. After two days, when the patient got stable, the echocardiography was performed, which was completely normal. |
| first_indexed | 2024-12-11T20:53:51Z |
| format | Article |
| id | doaj.art-8fdbd112b143462eab6a3cb6a7be7b59 |
| institution | Directory Open Access Journal |
| issn | 2423-4486 2423-4494 |
| language | English |
| last_indexed | 2024-12-11T20:53:51Z |
| publishDate | 2019-04-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Pharmaceutical and Biomedical Research |
| spelling | doaj.art-8fdbd112b143462eab6a3cb6a7be7b592022-12-22T00:51:10ZengMazandaran University of Medical SciencesPharmaceutical and Biomedical Research2423-44862423-44942019-04-01524952A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamineFarhad Gholami0Seyed Hamzeh Hosseini1Amirhossein Ahmadi2Maryam Nabati3 Department of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran Pharmaceutical Sciences Research Center, Faculty of Pharmacy, Mazandaran University of Medical Sciences Department of Cardiology, Faculty of Medicine, Mazandaran University of Medical Sciences Misuse of stimulants similar to amphetamine is a universal problem. These stimulants cause many complications in their abusers. However, myocardial infarction is rarely reported as a complication of amphetamine abuse. Herein, we report a man aged 42 years presented at the Emergency Department with the chief complaint of acute dyspnea following ice inhalation without history of dyspnea. Within the first hour and a half of admission, the patient was treated by nasal oxygen and bronchodilator aminophylline. However, he did not respond to the initial treatment and lost his consciousness; showed ventricular fibrillation, cardiac arrest, and hemodynamic instability. So, cardiopulmonary resuscitation was immediately initiated for him. The patient was intubated, mechanically ventilated. Also, the synchronized electrical shock was delivered 5 times (200-360 J) along with amiodarone (300 mg intravenously [IV] stat, then 1 mg/min IV infusion for 6 hours and next 0.5 mg/min for 18 hours) to treat the ventricular fibrillation. The arrhythmia was subsequently controlled, and his normal sinus rhythm was resumed. Two hours later, condition of the patient improved, and he was extubated. After two days, when the patient got stable, the echocardiography was performed, which was completely normal.http://pbr.mazums.ac.ir/article-1-226-en.htmlcrystal methamphetaminesevere dyspneacardiac arrestventricular fibrillationhemodynamic instability |
| spellingShingle | Farhad Gholami Seyed Hamzeh Hosseini Amirhossein Ahmadi Maryam Nabati A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine Pharmaceutical and Biomedical Research crystal methamphetamine severe dyspnea cardiac arrest ventricular fibrillation hemodynamic instability |
| title | A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine |
| title_full | A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine |
| title_fullStr | A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine |
| title_full_unstemmed | A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine |
| title_short | A Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine |
| title_sort | case report of hemodynamic instability cardiac arrest and acute severe dyspnea subsequent to inhalation of crystal methamphetamine |
| topic | crystal methamphetamine severe dyspnea cardiac arrest ventricular fibrillation hemodynamic instability |
| url | http://pbr.mazums.ac.ir/article-1-226-en.html |
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