Navigation Links
Sudden Opioid Withdrawal Results in ‘Broken Heart Syndrome

Two new studies published in the Mayo Clinic Proceedings revealed a link existing between sudden opioid withdrawal and cocaine use with the onset of cardiac syndromes.//

‘Broken Heart Syndrome’, which was characterized by chest pain, shortness of breath mimics heart attack.

The findings shed light on ‘broken heart syndrome,’ a still somewhat uncommon disorder first described in Japan 15 years ago that mimics a heart attack. Patients may experience shortness of breath and chest pain and, upon hospital admission, go through extensive tests to determine a diagnosis and rule out heart attack.

In a case report outlined in Mayo Clinic Proceedings this month, physicians describe a 61-year-old woman who was treated for broken heart syndrome at Mayo Clinic Rochester after abruptly discontinuing use of the opioid, OxyContin. It’s the first report of broken heart syndrome resulting from opioid withdrawal in an adult.

Opioids such as OxyContin are becoming increasingly common for pain management, the report’s authors say. Given the drug’s prevalence, physicians should proceed with caution when removing patients from high-dose opioids in order to avoid serious complications and hospitalizations, says Juanita Rivera, M.D., an anesthesiologist with Mayo Clinic Rochester and lead author of the report.

The authors also note the importance of patients being familiar with their medications, as confusion about their drug regimen can delay treatment. Though most broken heart syndrome patients regain full cardiac function, some die and others suffer life-threatening complications.

In a separate case report in June’s issue of Mayo Clinic Proceedings, physicians report on the first known case of cocaine use resulting in broken heart syndrome. According to the report, a 54-year-old woman came to the emergency department experiencing chest pain and admitted she had smoked crack cocaine in the months and hours leading up to her admis sion.

Sandeep Arora, M.D., lead author of the report and an internal medicine specialist at Western Pennsylvania Hospital in Pittsburgh, says physicians lack a clear understanding of broken heart syndrome. The report demonstrates that cocaine use can potentially trigger transient left ventricular apical ballooning, also known as broken heart syndrome, in certain susceptible individuals, but further research is needed to determine other associated risk factors, Dr. Arora says.

In an accompanying editorial, physicians say more research is necessary to determine the syndrome’s underlying pathomechanisms. The journal also contains a medical image of broken heart syndrome.

Other Mayo authors of the opioid withdrawal report are Adam Locketz, M.D., Kevin Fritz, Terese Horlocker, M.D., and Michelle Kinney, M.D., all of the Department of Anesthesiology; David Lewallen, M.D., Department of Orthopedic Surgery; Abhiram Prasad, M.D., and John Bresnahan, M.D., Division of Cardiovascular Diseases. All are from Mayo Clinic Rochester.

Other authors of the cocaine report are Fadi Alfayoumi, M.D., and Venkatraman Srinivasan, M.D., of Western Pennsylvania Hospital/Temple University Program.

Source: Nwswise

Related medicine news :

1. Fish Oil Fights Arrhythmias, Sudden Death
2. Sudden Cardiac Death due to inherited Heart Disease
3. Vasopressin Found To Boost Survival In Sudden Cardiac arrest
4. Vitamin E Could Restore Sudden Hearing Loss
5. Sudden Weight Gain Could Increase The Risk Of Heart Disease
6. Sudden Stress Found To Mimic Heart Attack Symptoms
7. Sudden Rise in PSA Dangerous for men
8. Sudden Cardiac Death: Diabetes May Be The Culprit
9. Causes of Sudden Infant Death Researched
10. Sudden Emotional Stress Could Lead To Heart Problems
11. WHO Chiefs Sudden Death - A Major Loss To Global Health
Post Your Comments:

(Date:10/13/2015)... ... October 13, 2015 , ... Doulagivers is O'Brien's licensed ... and End of Life Doula Training. A Doulagiver is a non-medical person ... emotionally. Based on her #1 International bestselling book Creating Positive Passings & ...
(Date:10/12/2015)... ... October 13, 2015 , ... North American Tool Corporation ... the 2015 IBC National Meeting in Rosemont, IL on October 4th. ... and standards of excellence that customers have come to expect from members of IBC’s ...
(Date:10/12/2015)... CA (PRWEB) , ... October 12, 2015 , ... ... on August 19, 2015, high school aged female athletes, particularly in the ... potentially sidelining repetitive motion and mechanical overuse injuries than male peers in the ...
(Date:10/12/2015)... ... October 12, 2015 , ... ... hypnosis by individuals who lack professional education and clinical training in a health ... for a variety of purposes such as: losing weight, managing pain, or stopping ...
(Date:10/12/2015)... ... ... The Horizon Foundation for New Jersey has awarded $846,600 in grants to ... quality of life in the Garden State. The grants, representing the second round of ... charitable arm of Horizon Blue Cross Blue Shield of New Jersey, the Horizon Foundation ...
Breaking Medicine News(10 mins):
(Date:10/12/2015)... 2015 About epilepsy --> ... of brain disorders manifested by benign to severe, disabling, ... from brain malformations and tumors to meningitis, high-risk pregnancies, ... the disease is unidentified, as is witnessed in the ... An imbalance between the inhibitory and excitatory signals of ...
(Date:10/12/2015)... Elbit Imaging Ltd. ("EI" or the ... board of directors approved a program to repurchase up to ... H Notes and Series I Notes, which are traded on ... the Company will have a significant preference to the purchase ... to time in the open market on the Tel Aviv ...
(Date:10/12/2015)... 2015 A new computer program that analyzes ... whether they will develop effective language skills within two ... in the journal Brain and Behavior . ... the journal,s Oct. 12 online edition, researchers at Cincinnati ... how specific regions of the brain respond to auditory ...
Breaking Medicine Technology: