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Stress Cardiomyopathy Precipitated by Withdrawal of Epoprostenol
William J Gionfriddo1, Hanna N Ahmed2, Harrison W Farber3
1Division of Cardiology, Tufts Medical Center, Boston, Massachusetts.
Abstract:
We describe a case of stress-induced cardiomyopathy following epoprostenol withdrawal. A patient with pulmonary arterial hypertension presented with a malfunctioning Hickman catheter. Inappropriate withdrawal of epoprostenol resulted in shock. Evaluation confirmed stress-induced cardiomyopathy. Restarting epoprostenol resolved the electrocardiographic and echocardiographic abnormalities. This case meets Taskforce on Takotsubo Syndrome Stress-Induced Cardiomyopathy criteria. (Level of Difficulty: Beginner.).
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