CTICasesMethamphetamine-induced dilated cardiomyopathy and pulmonary hypertension
Imaging findings
Cardiac MRI and CT show a severely dilated and hypokinetic left ventricle, a small apical myocardial infarction with an apical thrombus, and pulmonary hypertension with a pulmonary artery larger than the aorta.
Key takeaways
Chronic methamphetamine use is associated with a severe dilated cardiomyopathy, ventricular hypokinesis, and pulmonary hypertension. Vasospasm induced by methamphetamine can lead to myocardial infarction and thrombus formation, and patients with methamphetamine-induced pulmonary hypertension have a significantly worse prognosis than those with idiopathic pulmonary hypertension.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Pulmonary tumor thrombotic microangiopathy from esophageal cancerVascular
- Traumatic manubriosternal dissociationTrauma
- Esophagopleural fistula closed with Ovesco clipIatrogenic
- Nocardia transvalensis pneumoniaInfection
- Aortoesophageal fistulaVascular
- Paradoxical systemic embolism via patent foramen ovaleVascular
- Cardiac metastasis of sarcomaNeoplastic
- Left lung agenesisCongenital
See all cases from January 10, 2019 →