Korean J Crit Care Med.  2010 Dec;25(4):245-248. 10.4266/kjccm.2010.25.4.245.

Stress-induced Cardiomyopathy Associated with Swine Influenza Infection Which Exacerbated Underlying Emphysema: A Case Report

• Song SG
• Kim JH
• Chun KJ
• Kim J
• Park YH
• Kim JS
• Park JH
• Han DC
• Cho WH
• Jeon DS
• Kim YS

• KMID: 2228187
• DOI: http://doi.org/10.4266/kjccm.2010.25.4.245

Abstract

Stress-induced cardiomyopathy (SICM) is an acute cardiac condition that causes left ventricular apical ballooning which mimicks acute coronary syndrome. The risk of in-hospital mortality with SICM is generally low (1% to 3%) and supportive care is usually sufficient for resolution. Swine-origin influenza A (H1N1, S-OIV) is a recently spreading pandemic and a serious public health problem. Although most S-OIV infections have a mild, self-limited course, clinical cases resulting in fatalities and associated with variable co-morbidities remain as a serious concern in some individuals. Among such serious complications, there have been few reports of SICM caused by S-OIV infection. We herein report, for the first time in the literature, a case with fatal hemodynamic instability secondary to SICM caused by S-OIV infection with viral pneumonia.

Keyword

chronic obstructive pulmonary disease (COPD); stress-induced cardiomyopathy; swine-origin influenza A(H1N1); viral pneumonia

MeSH Terms

Acute Coronary Syndrome
Cardiomyopathies
Hemodynamics
Hospital Mortality
Influenza, Human
Pandemics
Pneumonia, Viral
Public Health
Swine