ACUTE, REVERSIBLE LEFT-VENTRICULAR DYSFUNCTION IN STATUS-ASTHMATICUS

被引:23
作者
LEVINE, GN [1 ]
POWELL, C [1 ]
BERNARD, SA [1 ]
SHERMAN, D [1 ]
FALING, LJ [1 ]
DAVIDOFF, R [1 ]
机构
[1] BOSTON UNIV,BOSTON CITY HOSP,MED CTR,DEPT MED,EVANS MEM DEPT CLIN RES,BOSTON,MA 02118
关键词
ASTHMA; LEFT VENTRICULAR DYSFUNCTION; MYOCARDIAL DEPRESSION; RESPIRATORY FAILURE;
D O I
10.1378/chest.107.5.1469
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Three cases of rapidly reversible severe myocardial depression are described in patients with status asthmaticus. Initial echocardiograms obtained within 1 day of hospital admission revealed global left ventricular hypokinesis with ejection fractions of 11 to 34%. Follow-up echocardiograms obtained only 3 to 8 days later revealed marked improvement of left ventricular function. Possible mechanisms responsible for the observed rapidly reversible myocardial depression and the clinical implications of this finding are discussed.
引用
收藏
页码:1469 / 1473
页数:5
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