Reversible segmental left-ventricular dysfunction caused by accidental administration of sympathomimetic drug in human

M V Simões; B C Maciel; J A Marin-Neto

doi:10.1016/s0167-5273(97)00126-5

Reversible segmental left-ventricular dysfunction caused by accidental administration of sympathomimetic drug in human

Int J Cardiol. 1997 Aug 29;61(1):93-6. doi: 10.1016/s0167-5273(97)00126-5.

Authors

M V Simões¹, B C Maciel, J A Marin-Neto

Affiliation

¹ Department of Internal Medicine, Medical School of Ribeirão Preto, University of São Paulo, Brazil.

PMID: 9292339
DOI: 10.1016/s0167-5273(97)00126-5

Abstract

A inadvertently administrated high dose of sympathomimetic drug induced cardiogenic shock manifestations in a previously healthy woman. This state was characterized by EKG subendocardial injury, serum cardiac enzymes elevation, extensive regional left ventricular wall motion abnormalities on echocardiogram. Therapeutics included oxygen, systemic vasodilators and diuretics. Clinical recovery occurred over a four days period and parallels the normalization of echocardiogram and EKG alterations.

Publication types

Case Reports

MeSH terms

Adult
Female
Humans
Hypotension / drug therapy*
Medication Errors*
Metaraminol / administration & dosage
Metaraminol / adverse effects*
Shock, Cardiogenic / chemically induced
Sympathomimetics / administration & dosage
Sympathomimetics / adverse effects*
Ultrasonography
Ventricular Dysfunction, Left / chemically induced*
Ventricular Dysfunction, Left / diagnostic imaging
Ventricular Dysfunction, Left / physiopathology
Ventricular Dysfunction, Left / therapy

Substances

Sympathomimetics
Metaraminol