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Neurogenic stunned myocardium associated with status epileptics and postictal catecholamine surge.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Shimizu, Masatoshi Kagawa, Ayako Takano, Takatsugu Masai, Hiroyuki Miwa, Yoichi |
| Copyright Year | 2008 |
| Abstract | A 75-year-old woman developed left ventricular apical ballooning, shortly after recovering from status epileptics. Plasma noradrenaline and adrenaline levels were 2.05 ng/ml and 0.48 ng/ml, respectively. Endomyocardial biopsy disclosed patchy areas of interstitial myocardial fibrosis, atrophy and vacuolization of cardiac myocytes, and some disappearance of myocyte nuclei. Follow-up echocardiography showed that the left ventricular apical ballooning was restored to normal within 25 days. These findings are compatible with neurogenic stunned myocardium. It is important to recognize that patients suffering from intractable seizures may harbor a risk of postictal catecholamine surge and catecholamine-induced myocardial dysfunction. |
| Starting Page | 718 |
| Ending Page | 723 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.jstage.jst.go.jp/article/internalmedicine/47/4/47_4_269/_pdf/-char/en |
| PubMed reference number | 18277028v1 |
| Volume Number | 47 |
| Issue Number | 4 |
| Journal | Internal medicine |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Atrophic Balloon Dilatation Cardiomyopathies Catecholamines Echocardiography Epilepsy Epinephrine Fibrosis Microgram per Liter Muscle Cells Myocardium Myocytes, Cardiac Neurogenic Urinary Bladder Norepinephrine Patients Seizures Status Epilepticus Ventricular Remodeling |
| Content Type | Text |
| Resource Type | Article |
