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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| Veröffentlicht in: | The New England journal of medicine 2018-03, Vol.378 (11), p.1043-1053 |
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| container_title | The New England journal of medicine |
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| creator | Loscalzo, Joseph Roy, Nathalie Shah, Ravi V Tsai, Joy N Cahalane, Alexis M Steiner, Johannes Stone, James R |
| description | 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. |
| doi_str_mv | 10.1056/NEJMcpc1712225 |
| format | Article |
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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.</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcpc1712225</identifier><identifier>PMID: 29539275</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>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</subject><ispartof>The New England journal of medicine, 2018-03, Vol.378 (11), p.1043-1053</ispartof><rights>Copyright © 2018 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-dccb0f28ac73d22822a6df7823f88d0f6356083fb5685b5c571429338debc6143</citedby><cites>FETCH-LOGICAL-c354t-dccb0f28ac73d22822a6df7823f88d0f6356083fb5685b5c571429338debc6143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMcpc1712225$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMcpc1712225$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,2746,2747,23909,23910,25118,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29539275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cabot, Richard C</contributor><contributor>Rosenberg, Eric S</contributor><contributor>Dudzinski, David M</contributor><contributor>Shepard, Jo-Anne O</contributor><contributor>Pierce, Virginia M</contributor><contributor>McDonald, Emily K</contributor><contributor>Ebeling, Sally H</contributor><contributor>Bond, Allison R</contributor><contributor>Baggett, Meridale V</contributor><contributor>Sgroi, Dennis C</contributor><creatorcontrib>Loscalzo, Joseph</creatorcontrib><creatorcontrib>Roy, Nathalie</creatorcontrib><creatorcontrib>Shah, Ravi V</creatorcontrib><creatorcontrib>Tsai, Joy N</creatorcontrib><creatorcontrib>Cahalane, Alexis M</creatorcontrib><creatorcontrib>Steiner, Johannes</creatorcontrib><creatorcontrib>Stone, James R</creatorcontrib><title>Case 8-2018: A 55-Year-Old Woman with Shock and Labile Blood Pressure</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>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.</description><subject>Adrenal Gland Neoplasms - complications</subject><subject>Adrenal Gland Neoplasms - diagnosis</subject><subject>Adrenal Gland Neoplasms - pathology</subject><subject>Adrenal Glands - diagnostic imaging</subject><subject>Adrenal Glands - pathology</subject><subject>Angiography</subject><subject>Balloon treatment</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Cardiac arrhythmia</subject><subject>Cardiovascular disease</subject><subject>Case reports</subject><subject>Coronary Angiography</subject><subject>Coronary artery</subject><subject>Diagnosis, Differential</subject><subject>Dyspnea</subject><subject>Echocardiography</subject><subject>Edema</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart</subject><subject>Heart rate</subject><subject>Heart-Assist Devices</subject><subject>Humans</subject><subject>Hypotension</subject><subject>Laboratories</subject><subject>Lungs</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Myocardium - pathology</subject><subject>Pheochromocytoma - complications</subject><subject>Pheochromocytoma - diagnosis</subject><subject>Pheochromocytoma - pathology</subject><subject>Shock, Cardiogenic - etiology</subject><subject>Shock, Cardiogenic - physiopathology</subject><subject>Shock, Cardiogenic - therapy</subject><subject>Stroke Volume</subject><subject>Takotsubo Cardiomyopathy - diagnosis</subject><subject>Takotsubo Cardiomyopathy - etiology</subject><subject>Troponin I - blood</subject><subject>Ventricle</subject><subject>Womens health</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp10M1LwzAYBvAgipvTq0cJCOIlM99Nvc0xv5hOUBFPJU1S1tk2M1kR_3srU0HBXN7L73148wCwT_CQYCFPbifXN2ZpSEIopWID9IlgDHGO5SboY0wV4knKemAnxgXuHuHpNujRVLCUJqIPJmMdHVSIYqJO4QgKgZ6dDmhWWfjka93At3I1h_dzb16gbiyc6rysHDyrvLfwLrgY2-B2wVahq-j2vuYAPJ5PHsaXaDq7uBqPpsgwwVfIGpPjgiptEmYpVZRqaYtEUVYoZXEhmZBYsSIXUolcGJEQTlPGlHW5kYSzAThe5y6Df21dXGV1GY2rKt0438as-wUnXCgmO3r4hy58G5ruuk5RhjGTIu3UcK1M8DEGV2TLUNY6vGcEZ58FZ78L7hYOvmLbvHb2h3832oGjNajrmDVuUf-X9AHgVHz4</recordid><startdate>20180315</startdate><enddate>20180315</enddate><creator>Loscalzo, Joseph</creator><creator>Roy, Nathalie</creator><creator>Shah, Ravi V</creator><creator>Tsai, Joy N</creator><creator>Cahalane, Alexis M</creator><creator>Steiner, Johannes</creator><creator>Stone, James R</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180315</creationdate><title>Case 8-2018: A 55-Year-Old Woman with Shock and Labile Blood Pressure</title><author>Loscalzo, Joseph ; Roy, Nathalie ; Shah, Ravi V ; Tsai, Joy N ; Cahalane, Alexis M ; Steiner, Johannes ; Stone, James R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-dccb0f28ac73d22822a6df7823f88d0f6356083fb5685b5c571429338debc6143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adrenal Gland Neoplasms - 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complications</topic><topic>Pheochromocytoma - diagnosis</topic><topic>Pheochromocytoma - pathology</topic><topic>Shock, Cardiogenic - etiology</topic><topic>Shock, Cardiogenic - physiopathology</topic><topic>Shock, Cardiogenic - therapy</topic><topic>Stroke Volume</topic><topic>Takotsubo Cardiomyopathy - diagnosis</topic><topic>Takotsubo Cardiomyopathy - etiology</topic><topic>Troponin I - blood</topic><topic>Ventricle</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loscalzo, Joseph</creatorcontrib><creatorcontrib>Roy, Nathalie</creatorcontrib><creatorcontrib>Shah, Ravi V</creatorcontrib><creatorcontrib>Tsai, Joy N</creatorcontrib><creatorcontrib>Cahalane, Alexis M</creatorcontrib><creatorcontrib>Steiner, Johannes</creatorcontrib><creatorcontrib>Stone, James R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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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.</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>29539275</pmid><doi>10.1056/NEJMcpc1712225</doi><tpages>11</tpages></addata></record> |
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| ispartof | The New England journal of medicine, 2018-03, Vol.378 (11), p.1043-1053 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | 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 |
| title | Case 8-2018: A 55-Year-Old Woman with Shock and Labile Blood Pressure |
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