The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Transient Mid-Ventricular Ballooning Syndrome after Cardiac Arrest

심정지 후 발생한 일과성 중간 좌심실 풍선 확장 증후군의 1예

  • Kim, Jeong-Eun (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Choi, Kyung-Soo (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Jeong, Hae-Ryong (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Seok-Hwan (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Jeong-Hun (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Jin-Ho (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Lim, Young-Hyo (Department of Internal Medicine, Hanyang University College of Medicine)
  • 김정은 (한양대학교 의과대학 내과학교실) ;
  • 최경수 (한양대학교 의과대학 내과학교실) ;
  • 정해룡 (한양대학교 의과대학 내과학교실) ;
  • 김석환 (한양대학교 의과대학 내과학교실) ;
  • 신정훈 (한양대학교 의과대학 내과학교실) ;
  • 신진호 (한양대학교 의과대학 내과학교실) ;
  • 임영효 (한양대학교 의과대학 내과학교실)
  • Published : 2012.09.01
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Abstract

Stress-induced cardiomyopathy is characterized by transient wall-motion abnormalities involving the left ventricular apex. Emotional or physical stress might play a key role in this reversible form of cardiomyopathy, but the etiology remains unclear. Clinical features of stress-induced cardiomyopathyare similar to those of acute coronary syndrome, but there is no significant stenosis in the coronary arteries. Recently, transient mid-ventricular ballooning syndrome, a variant form of stress-induced cardiomyopathy in which only the mid-ventricle is affected, has been reported. Here, we report a case of a 42-year-old female patient who developed transient mid-ventricular ballooning syndrome after cardiac arrest during autologous fat transplantation.

일과성 중간 좌심실 풍선 확장 증후군은 스트레스성 심근증의 한 변형으로 중간부 좌심실에 국한된 심근벽 운동장애와 확장을 보이는 질환이다. 임상양상이 급성 관상동맥 증후군과 유사하여 감별 진단이 필요하다는 점에서 중요하며, 정확한 병태생리의 확립을 위한 추가 연구가 요구된다. 본 저자들은 자가 지방 이식 수술 도중 발생한 심정지로 심폐 소생술 시행 후 내원하여 심전도와 심초음파에서 급성 심근경색이 의심되었으나 관상동맥 조영술 및 좌심실 조영술 시행 후 일과성 중간 좌심실 풍선 확장 증후군이 진단된 증례를 경험하여 이를 보고한다.

Keywords

References

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