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KMID : 0390620160240010079
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Journal of Cardiovascular Ultrasound
2016 Volume.24 No. 1 p.79 ~ p.83
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Stress-Induced Cardiomyopathy Presenting as Shock
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Yoo Tae-Kyung
Lee Jong-Young
Sung Ki-Chul
Oh Sam-Sae
Song Young-Seok
Lee Seung-Jae
Ko Kyung-Jin
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Abstract
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Stress-induced cardiomyopathy has become a more recognized and reported entity. It can be caused by emotional or physical stress, which causes excessive catecholamine release. Typically, the clinical course is benign with conservative treatment being effective. However, stress-induced cardiomyopathy can be fatal. A 41-year-old female presented with cardiogenic shock followed by sudden back pain. Initial echocardiographic finding showed severely decreased ejection fraction with akinesia at all mid-to-apical walls with relatively preserved basal wall contractility. The coronary artery was intact on coronary angiography. Cardiac resuscitation and extra-corporeal membrane oxygenation was needed to manage the cardiogenic shock. Recovery was complete after 2 weeks.
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KEYWORD
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Takotsubo cardiomyopathy , Extracorporeal membrane oxygenation , Shock , Cardiogenic , Echocardiography
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