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Dilated cardiomyopathy associated with chronic overuse of an adrenaline inhaler
  1. M J Stewart,
  2. D M Fraser,
  3. N Boon
  1. Department of Medicine, Milesmark Hospital, Dunfermline
  2. Department of Cardiology, Royal Infirmary of Edinburgh, Edinburgh


    Endogenous catecholamines in excess are known to cause dilated cardiomyopathy. A patient presented with dilated cardiomyopathy after many years of overusing an adrenaline inhaler.

    Pathological features and a considerable improvement in myocardial function after withdrawal implicated the exogenous catecholamine excess in the pathogenesis of the cardiomyopathy.

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