지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.12
- 수록면
- 125 - 129 (5page)
- DOI
- https://doi.org/10.12701/yujm.2016.33.2.125
이용수
초록· 키워드
오류제보하기
Stress induced cardiomyopathy (SC) is characterized by transient left ventricular (LV) dysfunction in the absence of coronary artery disease. We report on a patient with panhypopituitarism who developed SC resulting from withdrawal of hormonal replacement therapy (HRT). A 52-year-old male visited our hospital for progressively worsening dyspnea. The patient had discontinued HRT 7 days ago, which had been administered for 18 months after transsphenoidal adenomectomy for pituitary macroadenoma. Initial electrocardiogram showed marked sinus bradycardia. Transthoracic echocardiography showed apical ballooning with an LV ejection fraction of 25%. No significant obstructive lesions were observed on coronary angiography.
With a clinical diagnosis of SC associated with panhypopituitarism, HRT was restarted, including glucocorticoid and thyroxine, along with standard heart failure management. His LV function had normalized at 2-month follow-up. He remains asymptomatic and administration of beta-blocker and angiotensin converting enzyme inhibitor were discontinued He currently only requires HRT.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
윤명호 / 2012 / Takotsubo 심근병증과 관상동맥 질환의 동시 발생 1예 / 대한내과학회지 83(6):791~795
Tsuchihashi K / 2001 / Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan / J Am Coll Cardiol 38:11~18
Wittstein IS / 2005 / Neurohumoral features of myocardial stunning due to sudden emotional stress / N Engl J Med 352:539~548
Ueyama T / 2002 / Emotional stress induces transient left ventricular hypocontraction in the rat via activation of cardiac adrenoceptors:a possible animal model of 'tako-tsubo' cardiomyopathy / Circ J 66:712~713
Gianni M / 2006 / Apical ballooning syndrome or takotsubo cardiomyopathy:a systematic review / Eur Heart J 27:1523~1529
Tsuchihashi K / 2001 / Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan / J Am Coll Cardiol 38:11~18
Wittstein IS / 2005 / Neurohumoral features of myocardial stunning due to sudden emotional stress / N Engl J Med 352:539~548
Ueyama T / 2002 / Emotional stress induces transient left ventricular hypocontraction in the rat via activation of cardiac adrenoceptors:a possible animal model of 'tako-tsubo' cardiomyopathy / Circ J 66:712~713
Gianni M / 2006 / Apical ballooning syndrome or takotsubo cardiomyopathy:a systematic review / Eur Heart J 27:1523~1529
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