title: Acute reversible cardiomyopathy associated with the systemic inflammatory response syndrome.
abstract: In the absence of ischemic heart disease, severe acute reversible myocardial dysfunction is uncommon, with sepsis most often being implicated in the ICU. We report a 38-year-old woman who developed profound transient myocardial depression due to nonseptic systemic inflammatory response syndrome caused by a necrotic kidney. Hemodynamic parameters and echocardiographic findings improved dramatically following nephrectomy. Other causes of acute myocardial suppression, including electrolyte abnormalities, drugs, catecholamine excess, and endocrine disease were excluded.
authors.affiliation: Intensive Care Unit, Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: S E
authors.initials: SE
authors.lastname: Lapinsky
authors.forename: J
authors.initials: J
authors.lastname: Gold
authors.forename: R F
authors.initials: RF
authors.lastname: Grossman
mesh_terms: D000328:Adult; D002303:Cardiac Output, Low / Q000209:etiology*; D005260:Female; D006801:Humans; D007249:Inflammation / Q000150:complications*; D007668:Kidney / Q000473:pathology*; D009336:Necrosis; D013577:Syndrome; D013610:Tachycardia / Q000209:etiology*; D016277:Ventricular Function, Left