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Severe Cardiogenic Shock Secondary to Acute Cocaine Intoxication Revealing Cocaine-Induced Dilated Cardiomyopathy in a Young Woman: A Case Report

Year: 2026

Type: article

Abstract: Cocaine is a potent sympathomimetic agent responsible for severe cardiovascular complications, including arrhythmias, myocardial ischemia, toxic myocarditis, and, in extreme cases, cardiogenic shock. We report a particularly severe case in a 26-year-old woman with known dilated cardiomyopathy and severely impaired left ventricular ejection fraction, admitted for acute cardiac decompensation following heavy and recent cocaine use. The dramatic hemodynamic deterioration required aggressive vasopressor and inotropic support, as well as multidisciplinary management. This case highlights the extreme danger of cocaine use in patients with pre-existing heart disease and underlines the importance of systematic screening and addiction prevention strategies.

Source: INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH

DOI: 10.58806/ijhmr.2026.v5i6n09

Authors: Nabil EL HANAFI SEBTI, Youssef EL HAIBA, Ayoub SEHBAOUI, Hind BAGGAR, Sara CHEBBAR, Anas MOUNIR, Mohammed Aziz BOUHOURI

Institution: Centre Hospitalier Universitaire Ibn Rochd

Language: English

Topic: Takotsubo Cardiomyopathy and Associated Phenomena

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7202076568

FWCI:

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