Chonnam Med J.
2013 Aug;49(2):91-95. 10.4068/cmj.2013.49.2.91.
Stress Cardiomyopathy Associated with Diffuse Alveolar Hemorrhage after Colonoscopy
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. mylovekw@hanmail.net
- 2Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
- KMID: 1428270
- DOI: http://doi.org/10.4068/cmj.2013.49.2.91
Abstract
- 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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