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: Vojkan Cvorovic, Ivan Stankovic, Milos Panic, Alja Vlahovic Stipac, Aleksandra Zivkovic, Aleksandar N Neskovic, Biljana Putnikovic
• Journal: Echocardiography (Mount Kisco, N.Y.) (Echocardiography) Vol. 30 Issue 6 Pg. E161-3 (Jul 2013) ISSN: 1540-8175 [Electronic] United States
• PMID: 23489387 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2013, Wiley Periodicals, Inc.

Topics

• Anesthesia, General
• Diagnosis, Differential
• Echocardiography (methods)
• Elasticity Imaging Techniques (methods)
• Female
• Heart Arrest (complications, diagnostic imaging)
• Humans
• Myocardial Stunning (diagnostic imaging, etiology)
• Takotsubo Cardiomyopathy (diagnostic imaging, etiology)
• Young Adult