The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Stress-Induced Cardiomyopathy as a Complication of Permanent Pacemaker Implantation

영구형 인공심박동기 삽입술 후 발생한 스트레스성 심장 근육병증 1예

  • Kang, Min-Gyu (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kim, Na-Young (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Park, Jeong-Rang (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Hwang, Seok-Jae (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Park, Yong-Whi (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kwak, Choong-Hwan (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Hwang, Jin-Yong (Department of Internal Medicine, Gyeongsang National University School of Medicine)
  • 강민규 (경상대학교 의학전문대학원 내과학교실) ;
  • 김나영 (경상대학교 의학전문대학원 내과학교실) ;
  • 박정랑 (경상대학교 의학전문대학원 내과학교실) ;
  • 황석재 (경상대학교 의학전문대학원 내과학교실) ;
  • 박용휘 (경상대학교 의학전문대학원 내과학교실) ;
  • 곽충환 (경상대학교 의학전문대학원 내과학교실) ;
  • 황진용 (경상대학교 의학전문대학원 내과학교실)
  • Published : 2012.05.01
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Abstract

Stress-induced cardiomyopathy is a disease characterized by acute transient left ventricular dysfunction following exposure to stressful situations. We encountered an 80-year-old woman with complete atrioventricular block and normal LV systolic function. After permanent pacemaker implantation, electrocardiogram showed inverted T-waves in precordial leads. Follow-up echocardiographic findings indicated dyskinesia of the apical wall. Final diagnosis was stress-induced cardiomyopathy associated with a physically stressful condition (i.e., pacemaker implantation).

스트레스성 심장 근육병증은 감정적 혹은 육체적 스트레스를 받는 상황에서 생길 수 있으며, 급성 관상동맥증후군과 임상양상이 유사하므로 감별진단이 중요하다. 영구형 인공심박동기 삽입술 후 합병증으로 스트레스성 심장 근육병증이 발생할 수 있으며 시술 후 심전도와 심초음파를 통한 경과관찰이 필요하다. 저자들은 영구형 인공심박동기 삽입술 후 발생한 스트레스성 심장 근육병증 증례 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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