Acute cardiomyopathy with MCAT abuse.

Consent This article has been accepted for publication as a letter rather than a case report due to an inability to contact the patient to gain written or verbal consent for publication. The letter has been anonymised, and the author affiliations are available by request to the Editor-in-Chief. The manuscript has undergone extensive review by JICS editors and the Editor-in-Chief of another medical journal in order to ensure that the principles behind its publication strictly adhere to the guidance of the Committee on Publication Ethics. Caldicott Guardian approval for its publication has been given by the Executive Medical Director of the Trust in which the patient was treated. All reviewers believe that the message being imparted justifies its publication albeit in an anonymised form.