Reversible segmental myocardial dysfunction in septic shock.
We report two septic-shock patients who had ECG and echocardiographic changes consistent with myocardial infarction but no evidence of coronary artery disease or myocardial injury at autopsy. The segmental myocardial dysfunction completely resolved in one patient. Because septic shock can cause segmental myocardial dyskinesis, ECG and echocardiographic data may be misleading and should be interpreted cautiously.
Thomas
F
F
Smith
J L
JL
Orme
J F
JF
Clemmer
T P
TP
Hagan
A D
AD
Elliott
C G
CG
Vincent
G M
GM
D000368:Aged; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D012772:Shock, Septic / Q000150:complications* / Q000503:physiopathology