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KMID : 0880520130490020091
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Chonnam Medical Journal
2013 Volume.49 No. 2 p.91 ~ p.95
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Stress Cardiomyopathy Associated with Diffuse Alveolar Hemorrhage after Colonoscopy
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Hwang Jin-Kyung
Jang Jae-Young
Kim Weon
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Abstract
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Stress cardiomyopathy (SCM) is usually precipitated by a physiologically or psychologically stressful event. Although it occurs only rarely, hypoxia- and hypercapnia-induced sympathetic activation may also cause SCM. We present the case of a 37-year-old woman affected with SCM after a routine colonoscopy. During the procedure, she aspirated residual polyethylene glycol from her stomach. Hypotension, resting dyspnea, and hemoptysis were subsequently observed. Laboratory findings revealed elevated cardiac enzymes, and a transthoracic echocardiogram revealed left ventricular (LV) global hypokinesia. She was ultimately diagnosed with diffuse alveolar hemorrhage-associated SCM. After successful treatment with a ventilator and corticosteroids, her LV systolic function and dimensions normalized and she was discharged without complications.
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KEYWORD
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Cardiomyopathies, Hemorrhage, Polyethylene glycols, Colonoscopy
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