scholarly journals 1502: UNEXPECTED HEARTBREAK: A CASE OF DKA COMPLICATED BY STRESS CARDIOMYOPATHY AND CARDIOGENIC SHOCK

2021 ◽  
Vol 50 (1) ◽  
pp. 755-755
Author(s):  
Julieta Lacey
Keyword(s):  
Cardiogenic Shock ◽  
Stress Cardiomyopathy

Neurogenic Stunned Myocardium: A Review

2021 ◽  
Vol 32 (3) ◽  
pp. 275-282
Author(s):  
Amy Stoddard ◽  
Donna Lynch-Smith
Keyword(s):  
Brain Injury ◽  
Cardiogenic Shock ◽  
Treatment Approach ◽  
Treatment Options ◽  
Stress Cardiomyopathy ◽  
Stunned Myocardium ◽  
Special Treatment ◽  
Injury Treatment ◽  
Neurogenic Stunned Myocardium ◽  
Sympathetic Nervous

Neurogenic stunned myocardium is a form of stress cardiomyopathy. The disorder is sometimes referred to as atypical Takotsubo cardiomyopathy. The pathophysiology of neurogenic stunned myocardium is hypothesized to involve significant overdrive of the sympathetic nervous system after a brain injury. Treatment options for a patient with a brain injury who has progressed to cardiogenic shock remain controversial, with no consistent guidelines. A patient with subarachnoid hemorrhage who progresses to cardiogenic shock with concurrent cerebral vasospasm presents a special treatment challenge. Neurogenic stunned myocardium is reversible; however, it must be recognized immediately to avoid or manage potential complications, such as cardiogenic shock and pulmonary edema. A multifaceted treatment approach is needed for the patient with cardiogenic shock and concurrent vasospasm.

scholarly journals Stress Cardiomyopathy Managed with Extracorporeal Support after Self-Injection of Epinephrine

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Bourenne Jeremy ◽  
Fresco Raphaëlle ◽  
Kerbaul François ◽  
Michelet Pierre ◽  
Gainnier Marc
Keyword(s):  
Cardiogenic Shock ◽  
Myocardial Stunning ◽  
Ventricular Dysfunction ◽  
Rapid Development ◽  
Stress Cardiomyopathy ◽  
Circulatory Support ◽  
Severe Cardiogenic Shock ◽  
Extracorporeal Support

A 28-year-old man was admitted to the ICU for self-injection of Epinephrine. This injection resulted in the rapid development of a catecholamine-induced cardiomyopathy (inverted Takotsubo) with a severe cardiogenic shock. The importance of ventricular dysfunction required the implementation of a temporary arteriovenous circulatory support until the recovery of myocardial stunning. This case allows redefining the role of circulatory assistance during cardiotropic agents intoxication.

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