Acute reversible cardiomyopathy associated with the systemic inflammatory response syndrome.
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.
Lapinsky
S E
SE
Intensive Care Unit, Mount Sinai Hospital, Toronto, Ontario, Canada.
Gold
J
J
Grossman
R F
RF
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