Acute Necrotizing Eosinophilic Myocarditis in a Patient Taking Garcinia Cambogia Extract Successfully Treated With High-Dose Corticosteroids

作者:Allen Scott F*; Godley Robert W; Evron Joshua M; Heider Amer; Nicklas John M; Thomas Michael P
来源:Canadian Journal of Cardiology, 2014, 30(12): 1732.e13.
DOI:10.1016/j.cjca.2014.08.025

摘要

A previously healthy 48-year-old woman was evaluated for lightheadedness and chest heaviness 2 weeks after starting the herbal supplement Garcinia cambogia. She was found to be hypotensive and had an elevated serum troponin level. The patient had a progressive clinical decline, ultimately experiencing fulminant heart failure and sustained ventricular arrhythmias, which required extracorporeal membrane oxygenation support. Endomyocardial biopsy results were consistent with acute necrotizing eosinophilic myocarditis (ANEM). High-dose corticosteroids were initiated promptly and her condition rapidly improved, with almost complete cardiac recovery 1 week later. In conclusion, we have described a case of ANEM associated with the use of Garcinia cambogia extract.

  • 出版日期2014-12