Akademik Veri Yönetim Sistemi
EUROPEAN GERIATRIC MEDICINE, cilt.5, ss.247, 2014 (SCI-Expanded, Scopus)
Recurrent stress-induced cardiomyopathy: a case report M. Cengiz1, E. Yildirim2, S. Yavuzer1, H. Yavuzer3, M. Yuruyen4, F. Demirdag3, Z. Kara3, A. Doventas3, Y. Karter1, T. Beger4, A. Yaldiran1, D.S. Erdincler3 1Department of Internal Medicine, Cerrahpasa Faculty of Medicine, Istanbul Univer, Istanbul, Turkey; 2Department of Cardiology, Medical School of Cerrahpasa, Istanbul, Turkey; 3Department of Geriatrics, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey; 4Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey Stress-induced cardiomyopathy (SIC) is a syndrome of transient cardiac dysfunction precipitated by intense emotional/physical stress. We report a rare case of recurrence that provides more insight into the nature of this unique syndrome. Case presentation: A 60-year-old female was admitted to the emergency department with chest pain after learning of her mother’s death. Electrocardiography showed T-wave inversion on leads V1–V6 (Figure 1a). Laboratory findings showed a significantly elevated serum level of troponin I. Transthoracic echocardiography showed mid to distal diskinesis left ventricular chamber. On coronary angiography we did not find coronary stenosis and ventriculography was akinesis of anterolateral region, with ejection fraction of 30%. The patient was discharged with acetylsalicylic acid, angiotensin converting enzyme inhibitor (ACEI) and a beta-blocker. A follow-up echocardiography at 2 weeks showed left ventricular ejection fraction of 55% with no wall-motion abnormalities. Four months later, on learning about the sudden unexpected death of her sister, she developed left-side chest pain. The patient presented to the emergency department. Electrocardiography showed T-wave inversion on leads V1–V6 (Figure 1b). Laboratory findings showed a significantly elevated serum level of troponin I. The coronary angiography was normal and similar to previous ventriculography finding. The patient was discharged in stable condition on ASA 100mg, beta-blocker, and ACEI. A follow-up echocardiography at 4 weeks showed an ejection fraction of 58% with no wall-motion abnormalities. Conclusion: Reports of a single episode of stress-induced cardiomyopathy are common in recent medical literature but recurrence of this syndrome is rare.