Stable Atrial Flutter in a Cocaine User: A Case Report and Literature Review

Cocaine is one of the commonest illicit drugs used and one of the most frequent causes of drug related deaths. Cardiovascular system effects due to cocaine manifests as a variety of structural heart issues along with arrhythmias. Atrial flutter is a common cause of morbidity in the United States population. Even though research has been sparse on the topic of cocaine use and atrial flutter, they have been shown to be linked. We present here a unique case of stable chronic atrial flutter in a middle-aged woman with a history of chronic cocaine use and heart failure with an ejection fraction of 15-20%.