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Landefeld K, Saleh Q, Sander GE. Stress Cardiomyopathy in the Setting of COPD Exacerbation. J Investig Med High Impact Case Rep. 2015;3(4):2324709615612847doi: 10.1177/2324709615612847.
Landefeld, K., Saleh, Q., & Sander, G. E. (2015). Stress Cardiomyopathy in the Setting of COPD Exacerbation. Journal of investigative medicine high impact case reports, 3(4), 2324709615612847. https://doi.org/10.1177/2324709615612847
Landefeld, Kevin, et al. "Stress Cardiomyopathy in the Setting of COPD Exacerbation." Journal of investigative medicine high impact case reports vol. 3,4 (2015): 2324709615612847. doi: https://doi.org/10.1177/2324709615612847
Landefeld K, Saleh Q, Sander GE. Stress Cardiomyopathy in the Setting of COPD Exacerbation. J Investig Med High Impact Case Rep. 2015 Oct 14;3(4):2324709615612847. doi: 10.1177/2324709615612847. eCollection 2015. PMID: 26904708; PMCID: PMC4748508.
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J Investig Med High Impact Case Rep. 2015 Oct 14;3(4):2324709615612847. doi: 10.1177/2324709615612847. eCollection 2015.

Stress Cardiomyopathy in the Setting of COPD Exacerbation.

Journal of investigative medicine high impact case reports

Kevin Landefeld, Qusai Saleh, Gary E Sander

Affiliations

  1. Tulane University School of Medicine, New Orleans, LA, USA.

PMID: 26904708 PMCID: PMC4748508 DOI: 10.1177/2324709615612847

Abstract

Introduction. Stress cardiomyopathy, or takotsubo cardiomyopathy, is an acute, reversible left ventricular dysfunction usually initiated by a psychological or physical stress. We report this case of stress cardiomyopathy following a chronic obstructive pulmonary disease exacerbation and the subsequent treatment. Case Description. A 49-year-old white female with a history of chronic obstructive pulmonary disease presented to the emergency room via emergency medical services with worsening severe shortness of breath and productive cough for 2 weeks but denied any chest pain on arrival. On presentation, she was noted to be tachypneic, using her accessory muscles and with bilateral coarse expiratory wheezing on lung auscultation. Initial electrocardiogram demonstrated sinus tachycardia. She was treated with multiple albuterol treatments. Soon afterwards, the course was complicated by hypoxic respiratory failure eventually requiring intubation. Her repeat electrocardiogram showed acute changes consistent with myocardial infarction, and an echocardiograph demonstrated apical akinesia with an ejection fraction of 25% to 30%. The patient was urgently taken for cardiac catheterization, which showed no angiographic evidence of coronary artery disease. Three days after initial presentation, a repeat transthoracic echocardiogram showed overall left ventricular systolic function improvement. Discussion. This case provided a unique look at the difficulty of balancing catecholamines in a patient with bronchospasm and stress cardiomyopathy.

Keywords: COPD; stress cardiomyopathy; takotsubo cardiomyopathy; β2-agonists

References

  1. J Am Coll Cardiol. 2010 Jan 26;55(4):333-41 - PubMed
  2. Exp Clin Cardiol. 2009 Spring;14(1):6-8 - PubMed
  3. J Am Coll Cardiol. 2009 Apr 14;53(15):1320-5 - PubMed
  4. Thorax. 2011 Sep;66(9):775-81 - PubMed
  5. World J Cardiol. 2014 May 26;6(5):338-44 - PubMed
  6. Heart Fail Clin. 2013 Apr;9(2):249-66, x - PubMed
  7. N Engl J Med. 2005 Feb 10;352(6):539-48 - PubMed

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