A Case of Stress-Induced Cardiomyopathy After Ketamine Infusion.
Cureus May 1, 2024 Zach Hart, Thomas Anderson, Hanna Fanous et al. 2 citations
A 64-year-old woman with hypothyroidism and parotid sarcoidosis developed acute chest pain and shortness of breath after receiving a ketamine infusion for mental health treatment. Echocardiography showed a temporarily reduced ejection fraction and apical hypokinesis, and angiography found no blocked coronary arteries, consistent with stress-induced cardiomyopathy. The timing suggests ketamine may have triggered the cardiomyopathy. Ketamine is increasingly used for depression and substance use disorders, but caution is warranted in patients with cardiovascular disease, and more research on its cardiac effects is needed.