Cargando…

Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report

INTRODUCTION: Stress cardiomyopathy is a condition of chest pain, breathlessness, abnormal heart rhythms and sometimes congestive heart failure or shock precipitated by intense mental or physical stress. CASE PRESENTATION: A 64-year-old male with a known diagnosis of moderate-to-severe aortic stenos...

Descripción completa

Detalles Bibliográficos
Autor principal: Bayer, Monika F
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803925/
https://www.ncbi.nlm.nih.gov/pubmed/20062645
http://dx.doi.org/10.1186/1757-1626-2-9128
_version_ 1782176104402911232
author Bayer, Monika F
author_facet Bayer, Monika F
author_sort Bayer, Monika F
collection PubMed
description INTRODUCTION: Stress cardiomyopathy is a condition of chest pain, breathlessness, abnormal heart rhythms and sometimes congestive heart failure or shock precipitated by intense mental or physical stress. CASE PRESENTATION: A 64-year-old male with a known diagnosis of moderate-to-severe aortic stenosis and advised that valve replacement was not urgent, presented with acute pulmonary edema following extraordinary mental distress. The patient was misdiagnosed as having a "massive heart attack" and died when managed by a traditional protocol for acute myocardial infarction/coronary artery disease, irrespective of his known aortic stenosis. CONCLUSION: Intense mental stress poses a considerable risk, particularly to patients with significant aortic stenosis. As described here, it can precipitate acute pulmonary edema. Importantly, effective management of acute pulmonary edema due to stress cardiomyopathy in patients with known aortic stenosis requires its distinction from acute pulmonary edema caused by an acute myocardial infarction. Treatment options include primarily urgent rhythm and/or rate control, as well as cautious vasodilation.
format Text
id pubmed-2803925
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-28039252010-01-10 Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report Bayer, Monika F Cases J Case Report INTRODUCTION: Stress cardiomyopathy is a condition of chest pain, breathlessness, abnormal heart rhythms and sometimes congestive heart failure or shock precipitated by intense mental or physical stress. CASE PRESENTATION: A 64-year-old male with a known diagnosis of moderate-to-severe aortic stenosis and advised that valve replacement was not urgent, presented with acute pulmonary edema following extraordinary mental distress. The patient was misdiagnosed as having a "massive heart attack" and died when managed by a traditional protocol for acute myocardial infarction/coronary artery disease, irrespective of his known aortic stenosis. CONCLUSION: Intense mental stress poses a considerable risk, particularly to patients with significant aortic stenosis. As described here, it can precipitate acute pulmonary edema. Importantly, effective management of acute pulmonary edema due to stress cardiomyopathy in patients with known aortic stenosis requires its distinction from acute pulmonary edema caused by an acute myocardial infarction. Treatment options include primarily urgent rhythm and/or rate control, as well as cautious vasodilation. BioMed Central 2009-12-02 /pmc/articles/PMC2803925/ /pubmed/20062645 http://dx.doi.org/10.1186/1757-1626-2-9128 Text en Copyright ©2009 Bayer; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bayer, Monika F
Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
title Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
title_full Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
title_fullStr Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
title_full_unstemmed Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
title_short Acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
title_sort acute pulmonary edema due to stress cardiomyopathy in a patient with aortic stenosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803925/
https://www.ncbi.nlm.nih.gov/pubmed/20062645
http://dx.doi.org/10.1186/1757-1626-2-9128
work_keys_str_mv AT bayermonikaf acutepulmonaryedemaduetostresscardiomyopathyinapatientwithaorticstenosisacasereport