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Reverse Takotsubo Cardiomyopathy Precipitated by Chronic Cocaine and Cannabis Use.

Cardiovasc Toxicol

December 2021

Drug Health Services, Royal Prince Alfred Hospital, Level 6, King George V Building, 83-117 Missenden Road, Camperdown, NSW, 2050, Australia.

This case report describes a 31-year-old man with 10 years of cocaine and cannabis dependence who developed reverse Takotsubo cardiomyopathy (rTC), a rare variant of Takotsubo cardiomyopathy. He presented to the Emergency Department (ED) with severe left temporal headache and vomiting which began whilst smoking cannabis and several hours after smoking methamphetamine and using cocaine via insufflation. Computed tomography and angiography of the brain was normal, and the headache resolved with analgesia.

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