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Korean J Crit Care Med > Volume 25(4); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(4): 245-248. doi: https://doi.org/10.4266/kjccm.2010.25.4.245
Stress-induced Cardiomyopathy Associated with Swine Influenza Infection Which Exacerbated Underlying Emphysema: A Case Report
Sung Gook Song, June Hong Kim, Kook Jin Chun, Jun Kim, Yong Hyun Park, Jeong Su Kim, Ju Hyun Park, Dong Cheul Han, Woo Hyun Cho, Doo Soo Jeon, Yun Seong Kim
1Division of Cardiology, Cardiovascular Center, Pusan National University Yangsan Hospital, Yangsan, Korea. junehongk@gmail.com
2Division of Pulmonary & Critical Care Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
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.
Key Words: chronic obstructive pulmonary disease (COPD); stress-induced cardiomyopathy; swine-origin influenza A(H1N1); viral pneumonia
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