길랑-바레 증후군에 합병된 가역적 심근병증 1예
A case of Guillain-Barré Syndrome Complicated with Reversible Cardiomyopathy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 73-year-old man with progressive quadriparesis was diagnosed as Guillain-Barré syndrome. On the 6th hospital day, the patient complained of sudden chest discomfort. The blood test and echocardiography suggested myocardial injury, and acute myocardial infarction was considered. However, coronary angiography displayed no vascular lesion, and the electrocardiography and echocardiogram showed marked improvement 14 days later. We concluded the patient had a reversible cardiomyopathy which is a rare complication of Guillain-Barré syndrome.
Abstract
A 73-year-old man with progressive quadriparesis was diagnosed as Guillain-Barré syndrome. On the 6th hospital day, the patient complained of sudden chest discomfort. The blood test and echocardiography suggested myocardial injury, and acute myocardial infarction was considered. However, coronary angiography displayed no vascular lesion, and the electrocardiography and echocardiogram showed marked improvement 14 days later. We concluded the patient had a reversible cardiomyopathy which is a rare complication of Guillain-Barré syndrome.
참고문헌 (10)
- Iga K, "Reversible left ventricular dysfunction associated with Guillain-Barré syndrome-an expression of catecholamine cardiotoxicity", Jpn Circ J, 59, pp.236~240 (1995)
- Hiraga A, "A patient with Guillain-Barré syndrome and recurrent episodes of ST elevation and left ventricular hypokinesis in the anterior wall", No To Shinkei, 55, pp.517~520 (2003)
- Finkelstein JS, "Guillain-Barré syndrome as a cause of reversible cardiomyopathy", Tex Heart Inst J, 33, pp.57~59 (2006)
- Bernstein R, "Neurogenic stunned myocardium in Guillain-Barré syndrome", Neurology, 54, pp.759~762 (2000)
- Mayer SA, "Myocardial injury and left ventricular performance after subarachnoid hemorrhage", Stroke, 30, pp.780~786 (1999)
- Fagius J, "Microneurographic evidence of excessive sympathetic outflow in the Guillain-Barré syndrome", Brain, 106, pp.589~600 (1983)
- Zochodne DW, "Autonomic involvement in Guillain-Barré syndrome: a review", Muscle Nerve, 17, pp.1145~1155 (1994)
- Pilati CF, "Excessive sympathetic nervous system activity decreases yocardial contractility", Proc Soc Exp Biol Med, 통권 : 193, pp.225~231 (1990)
- Ahmad J, "Estimation of plasma and urinary catecholamines in Guillain-Barré syndrome", Jpn J Med, 24, pp.24~29 (1985)
- Martins RP, "Takotsubo cardiomyopathy associated with Guillain-Barré syndrome: a differential diagnosis from dysautonomia not to be missed", J Neurol Sci, 291, pp.100~102 (2010)