Stable Atrial Flutter in a Cocaine User: A Case Report and Literature Review
Henry Mann *
One Brooklyn Health System, Interfaith Medical Center, Brooklyn, USA.
Ambika Devi Kaphle Bastola
Nobel Medical College, Teaching Hospital, Biratnagar, Nepal.
Amita Arora
One Brooklyn Health System, Interfaith Medical Center, Brooklyn, USA.
Tsering Dolkar
One Brooklyn Health System, Interfaith Medical Center, Brooklyn, USA.
Rachel Tbeile
College of Staten Island, The City University of New York, Staten Island, USA.
Alix Dufresne
Department of Cardiology, One Brooklyn Health System, Interfaith Medical Center, Brooklyn, USA.
*Author to whom correspondence should be addressed.
Abstract
Cocaine is one of the commonest illicit drugs used and one of the most frequent causes of drug related deaths. Cardiovascular system effects due to cocaine manifests as a variety of structural heart issues along with arrhythmias. Atrial flutter is a common cause of morbidity in the United States population. Even though research has been sparse on the topic of cocaine use and atrial flutter, they have been shown to be linked. We present here a unique case of stable chronic atrial flutter in a middle-aged woman with a history of chronic cocaine use and heart failure with an ejection fraction of 15-20%.
Keywords: Atrial flutter, cocaine, heart failure, heart failure with reduced ejection fraction, stable atrial flutter, cardiology