PT - JOURNAL ARTICLE AU - Mohamad Badie Taha AU - Osama Dasa AU - Mohammad Al-Ani AU - Omar B Taha AU - Nila S Radhakrishnan AU - Mustafa M Ahmed TI - Acute right ventricular failure: a novel presentation of methadone-induced cardiotoxicity AID - 10.1136/bcr-2020-237168 DP - 2020 Nov 01 TA - BMJ Case Reports PG - e237168 VI - 13 IP - 11 4099 - http://casereports.bmj.com/content/13/11/e237168.short 4100 - http://casereports.bmj.com/content/13/11/e237168.full SO - BMJ Case Reports2020 Nov 01; 13 AB - As methadone use increases, the potential for methadone-induced cardiotoxicity (MIC) may rise. We describe a case of acute right ventricular (RV) failure leading to cardiogenic shock after methadone overdose. This presentation was followed by full RV recovery. This previously undescribed presentation highlights the challenges involved with MIC, its diagnosis and its management.