Stress cardiomyopathy in critical care: A case series of 109 patients.
World J Crit Care Med
; 11(3): 149-159, 2022 May 09.
Article
em En
| MEDLINE
| ID: mdl-36331975
ABSTRACT
BACKGROUND:
Critically ill patients are at risk of developing stress cardiomyopathy (SC) but can be under-recognized.AIM:
To describe a case series of patients with SC admitted to critical care units.METHODS:
We conducted a retrospective observational study at a tertiary care teaching hospital. All adult (≥ 18 years old) patients admitted to the critical care units with stress cardiomyopathy over 5 years were included.RESULTS:
Of 24279 admissions to the critical care units [19139 to medical-surgical intensive care units (MSICUs) and 5140 in coronary care units (CCUs)], 109 patients with SC were identified. Sixty (55%) were admitted to the coronary care units (CCUs) and forty-nine (45%) to the medical-surgical units (MSICUs). The overall incidence of SC was 0.44%, incidence in CCU and MSICU was 1.16% and 0.25% respectively. Sixty-two (57%) had confirmed SC and underwent cardiac catheterization whereas 47 (43%) had clinical SC, and did not undergo cardiac catheterization. Forty-three (72%) patients in the CCUs were diagnosed with primary SC, whereas all (100%) patients in MSICUs developed secondary SC. Acute respiratory failure that required invasive mechanical ventilation and shock developed in twenty-nine (59%) MSICU patients. There were no statistically significant differences in intensive care unit (ICU) mortality, in-hospital mortality, use of inotropic or mechanical circulatory support based on type of unit or anatomical variant.CONCLUSION:
Stress cardiomyopathy can be under-recognized in the critical care setting. Intensivists should have a high index of suspicion for SC in patients who develop sudden or worsening unexplained hemodynamic instability, arrhythmias or respiratory failure in ICU.
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Bases de dados:
MEDLINE
Tipo de estudo:
Observational_studies
Idioma:
En
Revista:
World J Crit Care Med
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos