A case of acute heart failure associated with Guillain-Barré syndrome.
Guillain-Barré syndrome (GBS) is a disease of the peripheral nervous system, which is caused by aberrant immune responses directed against some components of peripheral nerves. GBS is rarely accompanied by cardiovascular involvement. We describe a case of acute neuropathy complicated by sudden heart failure and left ventricular dysfunction which had a presumably neurogenic origin. Pathogenesis of acute heart failure is probably due to transitorial stunned myocardium and neurogenic cardiac injury. We show a rare case of transitorial and acute cardiac dysfunction by echocardiography and laboratory markers of heart failure.
Palazzuoli
A
A
Institute of Internal Medicine and Metabolic Diseases, Section of Cardiology, Ospedale Le Scotte, University of Siena, Italy. palazzuoli2@unisi.it
Lenzi
C
C
Iovine
F
F
Carrera
A
A
Nuti
R
R
D000368:Aged; D004562:Electrocardiography / Q000379:methods; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D006333:Heart Failure / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D006801:Humans; D008297:Male; D020097:Natriuretic Peptide, Brain / Q000378:metabolism; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000378:metabolism / Q000473:pathology
D020097:Natriuretic Peptide, Brain