Abstract
The use of weight loss dietary supplements is prevalent in the United States, and over the past decade, there has been tremendous growth of the use of these products. It is well documented that ephedra-based products are associated with various cardiovascular adverse effects. With new restrictions placed on such products, companies are now manufacturing caffeine-based ephedra-free herbal supplements. We present the case of 36-year old, previously healthy female who developed malignant hypertension and aortic dissection while taking various caffeine-based dietary supplements. Given the lack of research studies in regards to their safety and efficacy, judicious care should be taken with the use of dietary supplements, including those designated as ephedra-free.
Highlights
The prevalence of obesity has increased markedly in the United States
In the United States, dietary supplements for weight loss are not recommended for losing weight due to concerns about efficacy and safety
We report the case of a patient who developed malignant hypertension and aortic dissection associated with the excess use of multiple caffeine-based ephedra free weight loss dietary supplements
Summary
The prevalence of obesity has increased markedly in the United States. Successful weight loss strategy involves long-term life style changes such as reducing calorie consumption and increasing physical activity [1]. We report the case of a patient who developed malignant hypertension and aortic dissection associated with the excess use of multiple caffeine-based ephedra free weight loss dietary supplements. Cases Journal 2009, 2:6612 http://casesjournal.com/casesjournal/article/view/2/4/6612 retrosternal chest pain radiating to the back She was 165 centimeter tall and weighed 70 kilogram. Each tablet contains 60–100 mg of caffeine and she was taking 1080 mg to 2000 mg of caffeine daily She denied the use of other medications, stimulants, herbal, alcohol and illicit drugs. No family history of hypertension, diabetes or coronary artery disease She denied palpitation, chest pain, insomnia, headache, abdominal pain or increase in urination. Chest pain, insomnia, headache, abdominal pain or increase in urination On presentation, her blood pressure was found to be 220/110 mm Hg in right arm and 230/118 mm Hg in left arm. Hypertension were negative.Patient was discharged home and upon follow-up 2 week later, her blood pressure remained well controlled with low dose amlodipine
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