Cardiogenic shock induced by a high dose of intravenous morphine

Morphine is an opiate alkaloid characterized by various clinical effects, among which the most prominent are its analgesic and psychoactive effects. It also has a depressive effect on respiratory cardiovascular system. Because of effect, morphine very addictive often used as recreational narcotic. As medication, it found use agent in chronic pain treatment, hemorrhagic shock, acute heart failure with pulmonary edema. Albeit, controversial, based many observational studies showing negative outcomes patients treated during incidents. In this report, authors present case cardiogenic shock (CS) transient left ventricular ejection fraction reduction, occurring patient attempting suicide using high dose intravenous sulphate administration. Other CS causes were ruled out. To best authors' knowledge, second morphine-related reported literature. Int J Occup Med Environ Health. 2021;34(1):133-8.