Recurrent, severe, and rapidly reversible apical ballooning syndrome in status asthmaticus.
Apical ballooning syndrome, or Tako-tsubo cardiomyopathy, is a peculiar form of transient left-ventricular dysfunction originally described as triggered by emotional stress. Subsequent reports indicated that physical stressors can also induce this clinical syndrome. We describe for the first time, to the best of our knowledge, a case of recurrent, severe, and quickly reversible apical ballooning syndrome provoked by the use of high-dose inhaled β-adrenergic agonists in status asthmaticus.
Rennyson
Stephen L
SL
Department of Internal Medicine, Carolinas Medical Center, Charlotte, North Carolina 28232, USA.
Parker
Jeremy M
JM
Symanski
John D
JD
Littmann
Laszlo
L
D000318:Adrenergic beta-Agonists / Q000009:adverse effects; D000368:Aged; D003422:Critical Care; D005260:Female; D006801:Humans; D009330:Nebulizers and Vaporizers; D012008:Recurrence; D012124:Respiratory Care Units; D012307:Risk Factors; D013224:Status Asthmaticus / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D054549:Takotsubo Cardiomyopathy / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D013997:Time Factors
D000318:Adrenergic beta-Agonists