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Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report

Stress cardiomyopathy (SCM) is a clinical phenomenon presenting symptoms suggestive of acute coronary syndrome and defined by acute, but transient, electrocardiogram (ECG) changes and left ventricular wall motion abnormalities. However, no obstructive coronary lesion is identified on catheterization...

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Detalles Bibliográficos
Autores principales: Kuley, Brandon, Webb, Jeremy J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590169/
https://www.ncbi.nlm.nih.gov/pubmed/37868484
http://dx.doi.org/10.7759/cureus.45733
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author Kuley, Brandon
Webb, Jeremy J
author_facet Kuley, Brandon
Webb, Jeremy J
author_sort Kuley, Brandon
collection PubMed
description Stress cardiomyopathy (SCM) is a clinical phenomenon presenting symptoms suggestive of acute coronary syndrome and defined by acute, but transient, electrocardiogram (ECG) changes and left ventricular wall motion abnormalities. However, no obstructive coronary lesion is identified on catheterization, and pathognomic echocardiogram findings are typically encountered. Multiple causes have been posited in the literature (e.g., severe stress, anxiety, pain, comorbid illness, trauma). We present the case of a 46-year-old female who presented to the emergency department (ED) for delayed left-sided hemothorax (six weeks following a high-speed motor vehicle collision) and developed an acute SCM following large-bore chest tube placement. To our knowledge, no prior cases have been reported immediately following thoracostomy tube placement and hemothorax drainage in the ED setting. We explore possible mechanistic explanations related to our case, which adds to the existing literature on the subject.
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spelling pubmed-105901692023-10-22 Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report Kuley, Brandon Webb, Jeremy J Cureus Cardiology Stress cardiomyopathy (SCM) is a clinical phenomenon presenting symptoms suggestive of acute coronary syndrome and defined by acute, but transient, electrocardiogram (ECG) changes and left ventricular wall motion abnormalities. However, no obstructive coronary lesion is identified on catheterization, and pathognomic echocardiogram findings are typically encountered. Multiple causes have been posited in the literature (e.g., severe stress, anxiety, pain, comorbid illness, trauma). We present the case of a 46-year-old female who presented to the emergency department (ED) for delayed left-sided hemothorax (six weeks following a high-speed motor vehicle collision) and developed an acute SCM following large-bore chest tube placement. To our knowledge, no prior cases have been reported immediately following thoracostomy tube placement and hemothorax drainage in the ED setting. We explore possible mechanistic explanations related to our case, which adds to the existing literature on the subject. Cureus 2023-09-21 /pmc/articles/PMC10590169/ /pubmed/37868484 http://dx.doi.org/10.7759/cureus.45733 Text en Copyright © 2023, Kuley et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Kuley, Brandon
Webb, Jeremy J
Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report
title Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report
title_full Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report
title_fullStr Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report
title_full_unstemmed Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report
title_short Stress Cardiomyopathy Following Thoracostomy Tube Placement and Hemothorax Drainage: A Case Report
title_sort stress cardiomyopathy following thoracostomy tube placement and hemothorax drainage: a case report
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590169/
https://www.ncbi.nlm.nih.gov/pubmed/37868484
http://dx.doi.org/10.7759/cureus.45733
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