THE GREAT IMITATOR: ACUTE PAPILLARY MUSCLE RUPTURE DUE TO COCAINE-INDUCED ISCHEMIA MASQUERADING AS INFECTIVE ENDOCARDITIS

Cocaine use has been associated with various cardiovascular complications including demand ischemia, coronary vasospasm and myocardial infarction. However, acute mitral regurgitation due to papillary muscle rupture from cocaine-induced ischemia remains exceedingly rare. We present a 29-year old