PT - JOURNAL ARTICLE AU - Tahsin M Rahman AU - Deborah J Hall AU - Brian Darrith AU - Songyun Liu AU - Joshua J Jacobs AU - Robin Pourzal AU - Craig D Silverton TI - Non-ischaemic cardiomyopathy associated with elevated serum cobalt and accelerated wear of a metal-on-metal hip resurfacing AID - 10.1136/bcr-2022-249070 DP - 2022 Jun 01 TA - BMJ Case Reports PG - e249070 VI - 15 IP - 6 4099 - http://casereports.bmj.com/content/15/6/e249070.short 4100 - http://casereports.bmj.com/content/15/6/e249070.full SO - BMJ Case Reports2022 Jun 01; 15 AB - A man in his late 30s developed non-ischaemic cardiomyopathy due to systemic cobalt toxicity associated with accelerated bearing surface wear from metal-on-metal hip resurfacing implanted in the previous 6 years. Following revision arthroplasty, the patient regained baseline cardiac function. Cobalt-induced cardiomyopathy is a grave condition that deserves early consideration due to potentially irreversible morbidity. We present this case to increase awareness, facilitate early detection and emphasise the need for research into the diagnosis and management of at-risk patients.