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KMID : 0604020100250040245
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Korean Journal of Critical Care Medicine
2010 Volume.25 No. 4 p.245 ~ p.248
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Stress-induced Cardiomyopathy Associated with Swine Influenza Infection Which Exacerbated Underlying Emphysema -A Case Report-
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Song Sung-Gook
Kim June-Hong
Chun Kook-Jin
Kim Jun
Park Yong-Hyun
Kim Jeong-Su
Park Ju-Hyun
Han Dong-Cheul
Cho Woo-Hyun
JEon Doo-Soo
Kim Yun-Seong
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Abstract
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Stress-induced cardiomyopathy (SICM) is an acute cardiac condition that causes left ventricular apical ballooning which mimicks acute coronary syndrome. The risk of in-hospital mortality with SICM is generally low (1% to 3%) and supportive care is usually sufficient for resolution. Swine-origin influenza A (H1N1, S-OIV) is a recently spreading pandemic and a serious public health problem. Although most S-OIV infections have a mild, self-limited course, clinical cases resulting in fatalities and associated with variable co-morbidities remain as a serious concern in some individuals. Among such serious complications, there have been few reports of SICM caused by S-OIV infection. We herein report, for the first time in the literature, a case with fatal hemodynamic instability secondary to SICM caused by S-OIV infection with viral pneumonia.
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KEYWORD
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chronic obstructive pulmonary disease, COPD, stress-induced cardiomyopathy, swine-origin influenza A(H1N1), viral pneumonia
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