Case 8-2018: A 55-Year-Old Woman with Shock and Labile Blood Pressure

A 55-year-old woman presented with cardiogenic shock. Echocardiography revealed a left ventricular ejection fraction of 15% and apical ballooning; angiography revealed normal coronary arteries. She had episodes of hypotension and hypertension. A diagnosis was made.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2018-03, Vol.378 (11), p.1043-1053
Hauptverfasser:	Loscalzo, Joseph, Roy, Nathalie, Shah, Ravi V, Tsai, Joy N, Cahalane, Alexis M, Steiner, Johannes, Stone, James R
Format:	Artikel
Sprache:	eng
Schlagworte:	Adrenal Gland Neoplasms - complications Adrenal Gland Neoplasms - diagnosis Adrenal Gland Neoplasms - pathology Adrenal Glands - diagnostic imaging Adrenal Glands - pathology Angiography Balloon treatment Blood pressure Blood Pressure - physiology Cardiac arrhythmia Cardiovascular disease Case reports Coronary Angiography Coronary artery Diagnosis, Differential Dyspnea Echocardiography Edema Electrocardiography Female Heart Heart rate Heart-Assist Devices Humans Hypotension Laboratories Lungs Magnetic Resonance Imaging Medical diagnosis Medical imaging Middle Aged Myocardium - pathology Pheochromocytoma - complications Pheochromocytoma - diagnosis Pheochromocytoma - pathology Shock, Cardiogenic - etiology Shock, Cardiogenic - physiopathology Shock, Cardiogenic - therapy Stroke Volume Takotsubo Cardiomyopathy - diagnosis Takotsubo Cardiomyopathy - etiology Troponin I - blood Ventricle Womens health
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Beschreibung
Zusammenfassung:	A 55-year-old woman presented with cardiogenic shock. Echocardiography revealed a left ventricular ejection fraction of 15% and apical ballooning; angiography revealed normal coronary arteries. She had episodes of hypotension and hypertension. A diagnosis was made.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc1712225