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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would Smoking Meth To Severe Asthma Attack?

my sister was 49 years old, 5'4" and about 130lbs. She passed away last week. She has smoked meth on and off for about 10-15 years...and in the last year, 4 month after moving into a new residence she had a severe asthma attack and was hospitalized. She has neer had asthma and she continued to have breathing issues though I dont know if she was using at the time when I saw her with labored breathing. She was given inhalers and a nebulizer machine which seemed to help the asthma episodes. She claimed the home she was in had mold and there does seem to be some mold in certain areas though I dont know if it is black mold spores. A couple of weeks ago she collpased and went into cardiac arrest which resulted in brain death. We were told by the people she was with that she was having breathing difficulty and was working herself up just before she went into resp. failure. The Dr. told us she was either having siezures or withdrawl symptoms for the first couple of days during her coma...when the jerking stopped the Dr. claimed it was most likely withdrawls. Does it mean she was smoking meth at the time of her collapse? DId the meth cause her asthma and the asthma attack which caused her to collapse? could it be there was no meth being smoked at the time of her collapse but the labored breathing for a few hours and asthma attack truly caused her collapse? we are trying to figure out what my sister died from...can you help us figure this out?

Thanks
Fri, 19 Sep 2014
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Addiction Medicine Specialist 's  Response
Methamphetamine is a harsh stimulant and stresses the heart and vessels. Heart trouble causes fluid to back up into the lung (because a damaged heart doesn't pump blood out of it). The fluid causes the lungs to not work well. ALSO, it causes inflammation all over the lung and often/usually causes wheezing which is often severe (called "cardiac asthma").
There are a number of possibilities and not being directly there, I cannot absolutely say, but it seems most likely that heart trouble from methamphetamine would explain the situation.
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Addiction Medicine Specialist Dr. Dr. Matt Wachsman's  Response
cannot say in her particular case without having seen her BUT.
CARDIAC ASTHMA, is when there is a heart problem which causes the heart to be unable to pump blood out of the lungs. The lungs get moist... accumulated fluid... they move poorly and usually also have inflammation from this which causes wheeze and... a LOT of respiratory distress/RESPIRATORY FAILURE. IN cardiac asthma, there typically is much more respiratory distress (and death) than in asthma from lung disease. Furthermore, ... the curve is different. IN a smoker who's lungs are having trouble there is progression and worsening over years to decades Gradually. In heart problems, they can come on out of the blue.
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Would Smoking Meth To Severe Asthma Attack?

Methamphetamine is a harsh stimulant and stresses the heart and vessels. Heart trouble causes fluid to back up into the lung (because a damaged heart doesn t pump blood out of it). The fluid causes the lungs to not work well. ALSO, it causes inflammation all over the lung and often/usually causes wheezing which is often severe (called cardiac asthma ). There are a number of possibilities and not being directly there, I cannot absolutely say, but it seems most likely that heart trouble from methamphetamine would explain the situation.