Late presentation of a cardiomyopathy provoked by sudden emotional stress.
This case report describes a Caucasian woman with an acute and reversible cardiomyopathy provoked by sudden emotional stress. Notable features of the case are the lack of neurohumoral activation, a 1-week delay between the identified emotional stressor and presentation, and the development of torsades de pointes with amiodarone therapy. Amiodarone should be viewed as contraindicated in this condition.
Bridgman
Paul G
PG
Department of Cardiology, Christchurch Hospital, Private Bag 4710, Christchurch, New Zealand. paul.bridgman@cdhb.govt.nz
D000208:Acute Disease; D000328:Adult; D000638:Amiodarone / Q000009:adverse effects; D009202:Cardiomyopathies / Q000209:etiology*; D000075202:Contraindications; D005260:Female; D006801:Humans; D013315:Stress, Psychological / Q000150:complications*; D016171:Torsades de Pointes / Q000139:chemically induced
D000638:Amiodarone