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A 24-year-old man presented to the emergency room with chest pain, acute respiratory failure, and palpitations shortly after the ingestion of small amounts of an energy drink in little cups one after another. He was afebrile, with frequent runs of supraventricular and ventricular tachycardia and underlying sinus tachycardia. The patient was treated with fluids and metoprolol but required intubation because of progressive hypoxia. Chest x-ray revealed bilateral fluffy pulmonary infiltrates. His ECG was free of ischemic changes, and an echocardiogram at that time showed hypokinesis of all basal left ventricular segments with apical sparing and an ejection fraction of 35% (Figure 1 and Movie I in the online-only Data Supplement). His troponin was mildly increased and serially measured brain natriuretic peptide was elevated at 8000 pg/mL.Figure 1. ECG recorded at admission showing sinus tachycardia and nonspecific T-wave inversion in leads I and aVL.After treatment with furosemide, nitroglycerine, heparin, and aspirin, the patient responded with clinical improvement of vital signs and chest x-ray. Episodes of agitation and delirium ensued, delaying extubation. Computerized tomography brain scan and electroencephalogram were negative, and toxicological testing demonstrated no cocaine, cannabis, or …

Reverse Takotsubo Cardiomyopathy Associated With the Consumption of an Energy Drink