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굴곡 기관지 내시경 시술 중 에피네프린 도포 후 발생한 스트레스성 심근병증 2예

Other Titles
 Stress Related Cardiomyopathy during Flexible Bronchoscopy 
Authors
 신정아  ;  하지윤  ;  김상용  ;  이병권  ;  김형중  ;  안철민  ;  장윤수 
Citation
 Korean Journal of Critical Care Medicine, Vol.28(2) : 127-132, 2013 
Journal Title
 Korean Journal of Critical Care Medicine 
ISSN
 1229-4802 
Issue Date
2013
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.
Files in This Item:
T201302345.pdf Download
DOI
10.4266/kjccm.2013.28.2.127
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김상용(Kim, Sang Young)
김형중(Kim, Hyung Jung) ORCID logo https://orcid.org/0000-0003-2498-0683
신정아(Shin, Jung Ar)
안철민(Ahn, Chul Min)
이병권(Lee, Byoung Kwon) ORCID logo https://orcid.org/0000-0001-9259-2776
장윤수(Chang, Yoon Soo) ORCID logo https://orcid.org/0000-0003-3340-4223
하지윤(Ha, Ji Yoon)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87289
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