J Cardiovasc Ultrasound.  2016 Mar;24(1):79-83. 10.4250/jcu.2016.24.1.79.

Stress-Induced Cardiomyopathy Presenting as Shock

• Yoo TK
• Lee JY
• Sung KC
• Oh SS
• Song YS
• Lee SJ
• Ko KJ

• KMID: 2161002
• DOI: http://doi.org/10.4250/jcu.2016.24.1.79

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.

Keyword

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

MeSH Terms

Adult
Back Pain
Cardiomyopathies*
Coronary Angiography
Coronary Vessels
Echocardiography
Extracorporeal Membrane Oxygenation
Female
Humans
Membranes
Oxygen
Resuscitation
Shock*
Shock, Cardiogenic
Takotsubo Cardiomyopathy
Oxygen