The growth in methamphetamine usage worldwide continues to present increasing societal
and health care challenges. With the escalation of its usage in a variety of social
demographics, the entity of methamphetamine-associated cardiomyopathy (MA-CMP) has
emerged. This entity is increasingly responsible for an important proportion of heart
failure burden in both admissions to hospital and in those individuals requiring chronic
heart failure care. MA-CMP poses some unique challenges including its recognition,
particularly in younger patients presenting with new-onset heart failure, its severity
at presentation and complications as well as management options. The challenging nature
of methamphetamine addiction and the necessity to achieve abstinence is a fundamental
aspect of management of this condition. As methamphetamine use continues at high levels
in Australia, the burden of MA-CMP will inevitably increase and, therefore, all clinicians
responsible for heart failure management require an awareness of this disease entity
and the specific clinical challenges of its care.
Keywords
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Article info
Publication history
Published online: February 10, 2022
Accepted:
December 17,
2021
Received in revised form:
December 2,
2021
Received:
October 20,
2021
Identification
Copyright
Crown Copyright © 2022 Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). All rights reserved.
