Cardiologia Croatica, Vol. 15 No. 1-2, 2020.
Recenzija, Prikaz slučaja
https://doi.org/10.15836/ccar2020.16
Stress Cardiomyopathy in a Patient with Advanced Stage Amyotrophic Lateral Sclerosis
Ivana Sopek Merkaš
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Krunoslav Fučkar
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska; Medicinski fakultet u Osijeku, Sveučilište Josipa Juraja Strossmayera u Osijeku, Osijek, Hrvatska
Dora Cerovec
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Nenad Lakušić
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska; Medicinski fakultet u Osijeku, Sveučilište Josipa Juraja Strossmayera u Osijeku, Osijek, Hrvatska; Fakultet za dentalnu medicine i zdravstvo Osijek, Sveučilišt
Ljubica Vincelj Šalković
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Duško Cerovec
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska; Medicinski fakultet u Osijeku, Sveučilište Josipa Juraja Strossmayera u Osijeku, Osijek, Hrvatska
Igor Šesto
; Klinika za kardiovaskularne bolesti Magdalena, Krapinske Toplice, Hrvatska
Sažetak
Stress cardiomyopathy is an entity of unknown etiology characterized by transient systolic
dysfunction of the left ventricle and regional wall motion abnormality which suggest myocardial infarction,
but with an absence of angiographic evidence of obstructive coronary artery disease. Patients
present with chest pain or/and dyspnea, while ECG changes are similar to acute myocardial infarction
with ST-elevation. An important factor in the development of stress cardiomyopathy are high catecholamine
levels in the blood as a result of the hyperactivity of the sympathetic nervous system caused
by a stressful event. Amyotrophic lateral sclerosis (ALS) is an incurable progressive neurodegenerative
disease that causes muscle weakness and ultimately ends in death due to respiratory muscle
paralysis and respiratory failure. High catecholamine levels and increased sympathetic activity have
been described in patients with ALS, which suggests that ALS is a risk factor for developing stress
cardiomyopathy. In this article, we present a patient at an advanced stage of ALS who developed stress
cardiomyopathy.
Ključne riječi
stress cardiomyopathy; amyotrophic lateral sclerosis; acute ST-segment elevation myocardial infarction.
Hrčak ID:
232212
URI
Datum izdavanja:
15.1.2020.
Posjeta: 1.597 *