J Korean Geriatr Soc.  2015 Jun;19(2):99-101. 10.4235/jkgs.2015.19.2.99.

Stress Cardiomyopathy due to Misuse of Transdermal Fentanyl Patches in an Elderly Patient

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. bwhite@live.co.kr

Abstract

Stress cardiomyopathy is characterized by transient systolic dysfunction of the apical and/or mid segment of the left ventricle. The main pathophysiology of stress cardiomyopathy is the excessive release of catecholamine. Opioid withdrawal can initiate a surge of catecholamine and an attack of stress cardiomyopathy. In this case, we report a case of stress cardiomyopathy due to iatrogenic withdrawal from transdermal fentanyl.

Keyword

Stress cardiomyopathy; Takotsubo cardiomyopathy; Fentanyl

MeSH Terms

Aged*
Fentanyl*
Heart Ventricles
Humans
Takotsubo Cardiomyopathy*
Fentanyl
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