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

Song, Ji Eun; Rhew, Jay Young; Lim, Ji Hyun; John, Sung Hee; Park, Jong Pil; Lee, Dong Yob

doi:2015.19.2.99

Ann Geriatr Med Res > Volume 19(2); 2015 > Article

Case Report

Journal of the Korean Geriatrics Society 2015;19(2):99-101.
DOI: https://doi.org/10.4235/jkgs.2015.19.2.99 Published online June 30, 2015.

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

Ji Eun Song, Jay Young Rhew, Ji Hyun Lim, Sung Hee John, Jong Pil Park, Dong Yob Lee

Division 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.

Key Words: Stress cardiomyopathy, Takotsubo cardiomyopathy, Fentanyl