Epinephrine use results in ‘stress’ cardiomyopathy

Abstract Epinephrine is a frequently used catecholamine, particularly in emergencies and during resuscitation attempts. It is not without side effects. We report a rare case of epinephrine-induced cardiomyopathy. Epinephrine was administered for bradycardia in our patient. He was treated conservativ...

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Bibliographic Details
Published inJournal of cardiology cases Vol. 11; no. 3; pp. 85 - 87
Main Authors Murthy, Avinash, MD, Henien, Shady, MD, Mcpherson, Craig A., MD, Logue, Michael A., MD
Format Journal Article
LanguageEnglish
Published Japan Elsevier Ltd 01.03.2015
Japanese College of Cardiology
Subjects
Cardiomyopathy
Cardiovascular
Epinephrine
Stress-induced cardiomyopathy
Epinephrine
Cardiomyopathy
Stress-induced cardiomyopathy
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Summary:Abstract Epinephrine is a frequently used catecholamine, particularly in emergencies and during resuscitation attempts. It is not without side effects. We report a rare case of epinephrine-induced cardiomyopathy. Epinephrine was administered for bradycardia in our patient. He was treated conservatively and responded well to the treatment. Through our work we wish to highlight this adverse cardiac effect of epinephrine. We hope to increase awareness among residents and practicing physicians while using epinephrine. < Learning objective: Epinephrine, although a lifesaving drug, has adverse side effects. Dosages and routes of administration determine its toxicity. Exogenous catecholamines can cause presentations similar to takotsubo cardiomyopathy. Management is supportive and the outcomes are good.>
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2014.11.001