Myocardial Dysfunction and Stress-Induced Cardiomyopathy Induced by Septic Shock After Hip Arthroplasty

Stress-induced cardiomyopathy, also known as Takotsubo cardiomyopathy or apical ballooning syndrome, is a disease of acute reversible myocardial injury characterized by transient localized systolic left ventricular insufficiency.

Appropriate laboratory tests are carried out, Next Generation Sequencing (NGS), Echocardiography.

Postoperative echocardiography showed myocardial dysplasia of the left ventricle and abnormal wall motion of the left ventricular phases. NGS: Burkholderia cepacia onionis, human herpesvirus type 6B, and human polyomavirus type 2. The patient's condition improved after aggressive anti-infective and symptomatic treatment.

Because of the difficulty in distinguishing acute coronary syndromes from stress-induced cardiomyopathy, we should be on the lookout for stress-induced cardiomyopathy in any patient who develops a severe physical or emotional reaction during the perioperative period, with electrocardiographic abnormalities and refractory hypotension. Prompt and effective treatment can reverse myocardial damage.