Abstract
Dilated cardiomyopathy (DCM) is one of the most common causes of heart failure with a prevalence of 1:2500. There are several primary and secondary etiologic factors, including gene mutations, infection agents, particularly viruses, toxins, autoimmune, and systemic disorders, and pheochromocytoma, neuromuscular, metabolic, mitochondrial, and nutritional disorders. However, a precise diagnosis can be reached only in no more than 50% of all cases. Herein, we report a rare case of hepatic damage and severe DCM as a consequence of relatively popular socially used narcotic-Ecstasy (3,4-methylenedioxy-N-methylamphetamine [MDMA]).
MeSH terms
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Adult
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Cardiomyopathy, Dilated / chemically induced*
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Cardiomyopathy, Dilated / pathology
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HLA Antigens / metabolism
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Hallucinogens / adverse effects*
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Heart / drug effects
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Heart / physiopathology
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Heart Failure / chemically induced
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Humans
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Hypertrophy, Left Ventricular / diagnostic imaging
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Liver / diagnostic imaging
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Liver / drug effects
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Male
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Myocardium / metabolism
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Myocardium / pathology
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Myocytes, Cardiac / drug effects
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Myocytes, Cardiac / metabolism
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Myocytes, Cardiac / pathology
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N-Methyl-3,4-methylenedioxyamphetamine / adverse effects*
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Substance-Related Disorders / diagnostic imaging
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Substance-Related Disorders / physiopathology
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Substance-Related Disorders / surgery
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Ultrasonography
Substances
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HLA Antigens
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Hallucinogens
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N-Methyl-3,4-methylenedioxyamphetamine