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Life-threatening constrictive pericarditis accompanied by synthetic cannabinoid use:A case report and literature review

引用

Journal of Acute Disease 2024年第3期13卷 116-120页

作者： Mahsa Behnemoon Razieh Omidvar zeinab sadat fattah jahromi Alireza Salmanipour Erfan Kohansal Department of Cardiology School of MedicineUrmia University of Medical SciencesUrmiaIran Rajaie Cardiovascular Medical and Research Institute Iran University of Medical SciencesTehranIran

Rationale:Synthetic cannabinoids are increasingly used as recreational drugs and have been associated with adverse cardiovascular ***,reports of synthetic cannabinoids accompanied by constrictive pericarditis are ***’s concern:A 28-year-old male with a history of synthetic cannabinoid(Bonzai)abuse presented with chest discomfort,dyspnea,and lower extremity *** revealed reduced left ventricular ejection fraction,elevated inflammatory markers,low electrocardiogram voltages,and atrial ***:Chest spiral computerized tomography scan and chest X-ray demonstrated pericardial *** magnetic resonance imaging and right heart catheterization were done to confirm the possibility of constrictive *** on the patient’s addiction history and exclusion of rheumatologic and infectious causes,it was supposed that constrictive pericarditis and cardiomyopathy may be accompanied by synthetic cannabinoid ***:The patient received standard medical therapy,including loop diuretics for cardiomyopathy and constrictive *** ablation was recommended for his rhythm control,and he was planned for close monitoring of clinical and echocardiographic response and evaluation of the need for surgical pericardiectomy in the ***:After 6 months follow-up,echocardiographic exam revealed no significant improvement in ventricular ***,due to the high surgical risk,the patient’s poor compliance,and the continuation of drug abuse,he was not a good candidate for surgery according to our heart team’s ***:Synthetic cannabinoids can trigger constrictive pericarditis,and clinicians should consider them when evaluating patients with compatible symptoms and exposure *** research on the cardiovascular effects of synthetic cannabinoids is needed and public education on potential harms is warranted.

关键词： Bonzai Constrictive pericarditis Synthetic cannabinoids Cardiomyopathy Myocarditis

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