Prolonged cardiogenic shock caused by a high-dose intravenous administration of dopamine in a patient with takotsubo cardiomyopathy.

Abstract

We report a patient with takotsubo cardiomyopathy in whom cardiogenic shock continued with a high intraventricular pressure gradient (IVPG) under a high-dose intravenous administration of dopamine and in whom cessation of the administration improved the hemodynamics dramatically. The present case report suggests that the administration of dopamine may lead to further hemodynamic deterioration in patients with takotsubo cardiomyopathy who exhibits an IVPG.

• Authors: Yusei Abe, Akira Tamura, Junichi Kadota
• Journal: International journal of cardiology (Int J Cardiol) Vol. 141 Issue 1 Pg. e1-3 (May 14 2010) ISSN: 1874-1754 [Electronic] Netherlands
• PMID: 19135739 (Publication Type: Case Reports, Letter)
• Copyright: Copyright (c) 2008 Elsevier Ireland Ltd. All rights reserved.

Chemical References

• Dopamine

Topics

• Aged
• Dopamine (administration & dosage, adverse effects)
• Female
• Humans
• Infusions, Intravenous
• Shock, Cardiogenic (chemically induced, diagnosis, etiology)
• Takotsubo Cardiomyopathy (complications, drug therapy)