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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
Keywords
bronchoscopy ; catecholamine ; stress cardiomyopathy ; takotsubo cardiomyopathy
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
Kim, Sang Young(김상용)
Kim, Hyung Jung(김형중) ORCID logo https://orcid.org/0000-0003-2498-0683
Shin, Jung Ar(신정아)
Ahn, Chul Min(안철민)
Lee, Byoung Kwon(이병권) ORCID logo https://orcid.org/0000-0001-9259-2776
Chang, Yoon Soo(장윤수) ORCID logo https://orcid.org/0000-0003-3340-4223
Ha, Ji Yoon(하지윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87289
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