Presentation
A 45-year-old woman presented to the emergency department with complaints of chest pain, heart palpitations that developed earlier that day, and dyspnea that began 3 days prior and had progressed. The patient admitted chronic cocaine use (20+ years). A urine toxicology test was positive for cocaine. On physical examination, hypertension, tachycardia, and dyspnea were present. A laboratory analysis showed electrolyte abnormalities (elevated iron, potassium, and sodium levels) and elevations in blood urea nitrogen (BUN) and creatinine levels. An EKG examination showed left ventricular hypertrophy (LVH), aortic dilatation, and RV systolic dysfunction. An electrocardiogram showed ST segment elevations, left ventricular hypertrophy (LVH), and arrhythmia. An echocardiogram demonstrated global wall motion abnormalities and an enlarged left ventricle. Can you diagnose the patient?
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Learnings
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