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Reversible Stress Cardiomyopathy Secondary to Aneurysmal Subarachnoid Hemorrhage: A Case Report.

Authors
  • Lampropoulos, Konstantinos1
  • Giannoulis, Evangelos2
  • Bazoukis, George2
  • Tse, Gary3
  • Triantafyllou, Epameinondas1
  • Triantafyllou, Athanasios1
  • 1 Catheterization Laboratory, General Hospital of Athens "Evangelismos", Athens, Greece. , (Greece)
  • 2 Department of Cardiology, General Hospital of Athens "Evangelismos", Athens, Greece. , (Greece)
  • 3 Li Ka Shing Institute of Health Sciences, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, SAR, P.R. China. , (China)
Type
Published Article
Journal
The Journal of emergency medicine
Publication Date
Oct 06, 2017
Identifiers
DOI: 10.1016/j.jemermed.2017.08.034
PMID: 28993037
Source
Medline
Keywords
License
Unknown

Abstract

A 55-year-old woman presented at the Emergency Department of our hospital complaining of vomiting and headache of sudden onset. Computed tomography angiography revealed a ruptured aneurysm at the tip of the basilar artery and the patient underwent a successful complete embolism of the sac of the aneurysm. During hospitalization, the patient developed electrocardiographic alterations and elevation of cardiac biomarkers, and echocardiography showed an impairment of left ventricular systolic function. The patient was diagnosed with neurogenic stress cardiomyopathy and she was treated conservatively. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Clinicians should be aware of neurogenic stress cardiomyopathy because early diagnosis and treatment are the cornerstones for achieving a better outcome.

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