Clin Endosc.  2016 Jan;49(1):76-80. 10.5946/ce.2016.49.1.76.

Two Cases of Stress Cardiomyopathy during Esophagogastroduodenoscopy

• Yu JW
• Park J
• Song PS
• Park JH
• Kim MS
• Jeon GJ
• Kim MS
• Kim TO

• KMID: 2166553
• DOI: http://doi.org/10.5946/ce.2016.49.1.76

Abstract

Esophagogastroduodenoscopy (EGD) is considered a relatively safe procedure. However, the procedure and the materials used in EGD with conscious sedation can cause stress to the patient. Adverse events during EGD have been reported, represented by cardiopulmonary complications. To date, five cases have reported worldwide to be associated with gastrointestinal endoscopy. Stress cardiomyopathy (SCMP) is a reversible cardiomyopathy that typically occurs in postmenopausal women due to stress and may resolve within a few weeks. SCMP resembles acute myocardial infarction but differs in terms of treatment and prognosis. Here, we describe two cases of SCMP with shock during EGD with conscious sedation.

Keyword

Takotsubo cardiomyopathy; Endoscopy, digestive system; Reversible cardiomyopathy

MeSH Terms

Cardiomyopathies
Conscious Sedation
Endoscopy, Digestive System*
Endoscopy, Gastrointestinal
Female
Humans
Myocardial Infarction
Prognosis
Shock
Takotsubo Cardiomyopathy*

Figure

• 

  Fig. 1. Electrocardiography (ECG). (A) ECG shows ST elevation in the I and aVL leads, and ST depression in the II, III, aVF, V4 to 6, (B) ST elevation and ST depression improvement.

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  Fig. 2. Transthoracic echocardiography (TTE). TTE shows hypokinetic mid left ventricle in (arrows) (A) systole and (B) diastole.

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  Fig. 3. Left ventriculogram. Left ventriculogram shows hypokinetic mid left ventricle in (A) diastole and (B) systole (arrows).

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