title: Establishing the diagnosis of inverted stress cardiomyopathy in a patient with cardiac arrest during general anesthesia: a potential role of myocardial strain?
abstract: In cardiac arrest survivors, postresuscitation myocardial stunning usually presents as either global left ventricular dysfunction or regional dyssynergy including the various forms of stress cardiomyopathy, in which rare variants may be difficult to diagnose. We present a patient with cardiac arrest during general anesthesia, in whom speckle tracking-derived myocardial strain helped to distinguish between the inverted variant of stress cardiomyopathy and global postresuscitation myocardial stunning.
authors.affiliation: Faculty of Medicine, Department of Cardiology, Clinical Hospital Center Zemun, University of Belgrade, Belgrade, Serbia. vojkancvorovic@rocketmail.com
authors.forename: Vojkan
authors.initials: V
authors.lastname: Cvorovic
authors.forename: Ivan
authors.initials: I
authors.lastname: Stankovic
authors.forename: Milos
authors.initials: M
authors.lastname: Panic
authors.forename: Alja Vlahovic
authors.initials: AV
authors.lastname: Stipac
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Zivkovic
authors.forename: Aleksandar N
authors.initials: AN
authors.lastname: Neskovic
authors.forename: Biljana
authors.initials: B
authors.lastname: Putnikovic
mesh_terms: D000768:Anesthesia, General; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D054459:Elasticity Imaging Techniques / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D017682:Myocardial Stunning / Q000000981:diagnostic imaging* / Q000209:etiology*; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000209:etiology*; D055815:Young Adult
keywords: cardiac arrest; myocardial strain; stress cardiomyopathy; stunning