Acute reversible myocardial depression associated with sepsis

被引：3

作者：

Kontani, M

Izumiya, Y

Shimizu, M

Yasuma, K

Inada, A

Ohta, H

Ikeda, T

机构：

[1] Tsuruga Municipal Hosp, Dept Cardiol, Fukui 9148502, Japan

[2] Tsuruga Municipal Hosp, Dept Internal Med, Fukui, Japan

[3] Tsuruga Municipal Hosp, Dept Gastroenterol, Fukui, Japan

来源：

INTERNAL MEDICINE | 2003年 / 42卷 / 01期

关键词：

sepsis; left ventricular failure; proinflammatory cytokines;

D O I：

10.2169/internalmedicine.42.60

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 30-year-old man was admitted to our hospital for left lobar pneumonia with septic shock. Acute left-sided heart failure became evident as sepsis developed. Echocardiography revealed diffuse severe hypokinesis of the left ventricle (LV) and a pulmonary artery catheter showed Forrester subset II hemodynamics. Along with amelioration of sepsis and decrease of the serum concentrations of tumor necrosis factor-a and interleukin-6, LV hypokinesis improved. It is suggested that the patient's heart failure may have been due to functional depression of myocardial contractility resulting from a direct effect of the cytokines towards the cardiomyocytes, the so-called "septic myocardial depression".

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收藏

页码：60 / 65

页数：6

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