ISSN: 2155-9880
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Sundar Kumar Kadarayandi Ganesan
Central America
Case Report
Differential Diagnosis of Transient Left Ventricular Dysfunction in a Critically Ill Patient
Author(s): Ashok Kumar Jayaraj and Sundar Kumar Kadarayandi Ganesan
Ashok Kumar Jayaraj and Sundar Kumar Kadarayandi Ganesan
There is evidence illustrating that the etiologies of non-ischemic LV (left ventricular) dysfunction such as Takotsubo cardiomyopathy, neurogenic stunning myocardium and post resuscitation stunning myocardium have a favorable clinical outcome. Good prognosis in non-ischemic LV dysfunction provides us courage to treat the condition expecting good. We describe herein the unique case of a 33-year-old woman who was started on combination chemotherapy of oxaliplatin and 5-flurouracil for colon adenocarcinoma. The patient’s baseline QTc was 460 ms. Twenty-four hours following initiation of chemotherapy, the patient developed 3 discrete episodes of tonicclonic seizures. Electrocardiogram assessment demonstrated a prolonged QTc interval (623 ms) with several episodes of TdP. Two episodes required defibrillation to revert to sinus rhythm. Post resuscitation echocardiogram showed severe g.. View More»
DOI:
10.4172/2155-9880.1000571