title: Transient myocardial dysfunction associated with angiotensin-converting enzyme inhibitor-induced angioedema: recognition by serial echocardiographic studies.
abstract: We report a case of a 58-year-old woman who had angiotensin converting enzyme inhibitor-induced angioedema after she underwent a biopsy of a hypopharyngeal mass. The angioedema was associated with severe transient myocardial dysfunction documented on echocardiography. She did not have anaphylaxis or coronary artery disease. To our knowledge this is the first reported case of transient myocardial dysfunction in the setting of angiotensin converting enzyme inhibitor-induced angioedema without anaphylaxis.
authors.affiliation: Division of Cardiology, The New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA.
authors.forename: P J
authors.initials: PJ
authors.lastname: Blomberg
authors.forename: H K
authors.initials: HK
authors.lastname: Surks
authors.forename: A
authors.initials: A
authors.lastname: Long
authors.forename: E
authors.initials: E
authors.lastname: Rebeiz
authors.forename: Y
authors.initials: Y
authors.lastname: Mochizuki
authors.forename: N
authors.initials: N
authors.lastname: Pandian
mesh_terms: D000799:Angioedema / Q000139:chemically induced / Q000000981:diagnostic imaging* / Q000473:pathology; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects*; D001706:Biopsy; D009202:Cardiomyopathies / Q000139:chemically induced / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D017328:Fosinopril / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D008875:Middle Aged; D009200:Myocardial Contraction; D013318:Stroke Volume
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D017328:Fosinopril