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Korean J Crit Care Med > Volume 28(2); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(2): 127-132. doi: https://doi.org/10.4266/kjccm.2013.28.2.127
굴곡 기관지 내시경 시술 중 에피네프린 도포 후 발생한 스트레스성 심근병증 2예
신정아ㆍ하지윤ㆍ김상용ㆍ이병권ㆍ김형중ㆍ안철민ㆍ장윤수
연세대학교 의과대학 내과학교실
Stress Related Cardiomyopathy during Flexible Bronchoscopy
Jung Ar Shin, Ji Yoon Ha, Sang Yong Kim, Byoung Kwon Lee, Hyung Jung Kim, Chul Min Ahn, Yoon Soo Chang
Department of Internal Medicine, Yonsei University Health System, Yonsei University College of Medicine, Seoul, Korea. yschang@yuhs.ac
ABSTRACT
Flexible bronchoscopy is a safe medical procedure, but the incidence rate of major complications is 0.08-0.3%. Here, we report 2 cases of stress induced cardiomyopathy, which developed immediately after flexible bronchoscopy. Stress related cardiomyopathy was confirmed by EKG, echocardiography, and coronary angiogram. The cardiac functions of these patients were fully recovered with conservative treatment. Although, the pathogenesis of stress related cardiomyopathy is not well understood, post-bronchoscopy tachycardia or arrhythmia is thought to be associated with hypoxemia or catecholamine excess. Because the clinical presentation is quite similar to acute myocardial infarction, discrete evaluations are required for appropriate treatment.
Key Words: bronchoscopy; catecholamine; stress cardiomyopathy; takotsubo cardiomyopathy
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