{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:56:23Z","timestamp":1784328983944,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Patients with chronic stimulant-induced cardiomyopathy presenting with cardiogenic shock can be stabilized with conventional measures. However, their management post-stabilization has not been well described and poses unique challenges: (i) less chance of myocardial recovery compared to acute stimulant-induced cardiomyopathy, (ii) psychosocial barriers to left ventricular assist device (LVAD) and heart transplantation, and (iii) concern for use of peripherally inserted central catheter for home inotrope in those with a history of substance abuse.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>Three patients with chronic stimulant-induced cardiomyopathy were admitted with cardiogenic shock progressing to Society for Cardiovascular Angiography &amp; Interventions stage D or E. They were stabilized with inotrope and\/or biventricular mechanical circulatory support. Long-term home inotrope was used as either a bridge to LVAD, reverse remodelling, or stabilization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Home inotrope should be viewed as an option in chronic stimulant-induced cardiomyopathy on a case-by-case basis. It can buy time to allow for myocardial stabilization or recovery through goal-directed medical therapy and stimulant cessation. It can also serve as a \u2018psychosocial stress test\u2019 for future consideration of advanced heart failure therapies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae406","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T11:38:51Z","timestamp":1723462731000},"source":"Crossref","is-referenced-by-count":1,"title":["Home inotrope therapy in chronic stimulant-induced cardiomyopathy: a case series"],"prefix":"10.1093","volume":"8","author":[{"given":"Max","family":"Joseph","sequence":"first","affiliation":[{"name":"Lehigh Valley Heart and Vascular Institute, Lehigh Valley Health Network , 1250 S Cedar Crest Blvd #300, Allentown, PA 18103 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sejal","family":"Batra","sequence":"additional","affiliation":[{"name":"Lehigh Valley Heart and Vascular Institute, Lehigh Valley Health Network , 1250 S Cedar Crest Blvd #300, Allentown, PA 18103 , 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