A Case of Dilated Cardiomyopathy with Massive Left Ventricular Thrombus after Use of a Sibutramine-Containing Slimming Product.
10.4070/kcj.2013.43.9.632
- Author:
Seung Hye HEO
1
;
Min Ho KANG
Author Information
1. Division of Cardiology, Department of Medicine, Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea. eukmh@naver.com
- Publication Type:Case Report
- Keywords:
Sibutramine;
Cardiomyopathy, dilated;
Anti-obesity agents
- MeSH:
Adult;
Anti-Obesity Agents;
Arrhythmias, Cardiac;
Blood Pressure;
Cardiomyopathies;
Cardiomyopathy, Dilated;
Cyclobutanes;
Food, Organic;
Heart Rate;
Humans;
Internet;
Male;
Myocardial Infarction;
Norepinephrine;
Serotonin;
Thrombosis
- From:Korean Circulation Journal
2013;43(9):632-635
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sibutramine, which acts as an anti-obesity drug by inhibiting reuptake of serotonin and norepinephrine, has now been banned due to cardiovascular adverse effects. However, despite being banned, it is not uncommon for people to purchase products with sibutramine or its analogues used as adulterants in non-prescription slimming products or health foods available on the internet. Sibutramine has been associated with rare but serious adverse reactions such as cardiac arrhythmia including QT interval prolongation, myocardial infarction, and cardiomyopathy, as well as increases in blood pressure and pulse rate. Here, we report a case of a 32-year-old male who presented with dilated cardiomyopathy with massive left ventricular thrombus after taking unauthorized sibutramine-containing slimming pills sold over the internet.