Journal of Cardiovascular Ultrasound  2016;24(1):79-83

doi:10.4250/jcu.2016.24.1.79

Stress-Induced Cardiomyopathy Presenting as Shock.

Tae Kyung YOO 1 ; Jong Young LEE ; Ki Chul SUNG ; Sam Sae OH ; Young Seok SONG ; Seung Jae LEE ; Kyung Jin KO

Affiliations

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Keywords

Takotsubo cardiomyopathy; Extracorporeal membrane oxygenation; Shock; Cardiogenic; Echocardiography

Country

Republic of Korea

Language

English

Abstract

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.