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Case Reports
. 2017 Oct 15;56(20):2797-2803.
doi: 10.2169/internalmedicine.8478-16. Epub 2017 Sep 15.

Transient Left Ventricular Contractile Dysfunction during the Treatment of Rhabdomyolysis: A Case Report and Literature Review

Toshihiro Tsuruda  1 , Nozomi Shinohara  2 , Miyuki Ogata  3 , Kazuo Kitamura  1 , Hidenobu Ochiai  2
Affiliations
Case Reports

Transient Left Ventricular Contractile Dysfunction during the Treatment of Rhabdomyolysis: A Case Report and Literature Review

Toshihiro Tsuruda et al. Intern Med. .

Abstract

Transient left ventricular contractile dysfunction (TLVCD) is often observed as a result of stress-related cardiomyopathy; however, recent reports suggest that rhabdomyolysis and eating disorders can also induce the development of TLVCD. We report a 52-year-old malnourished man who developed acute heart failure on day 4 of treatment for rhabdomyolysis. Transthoracic echocardiogram revealed severe hypokinesis at the apical and mid-ventricular segments, except for the basal segments of the left ventricular wall, which recovered within one week. We discuss the pathogenesis of TLVCD with sympathetic nerve activation in association with rhabdomyolysis or refeeding syndrome.

Keywords: cardiomyopathy; echocardiography; refeeding syndrome.

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Figures

Figure 1.
Figure 1.
Chest X-ray on the day of admission (A) and days 4 (B) and 8 (C) after admission.
Figure 2.
Figure 2.
Surface electrocardiogram on the day of admission (A) and days 4 (B) and 12 (C) after admission. The corrected QT interval was calculated using Bazett’s formula.
Figure 3.
Figure 3.
Laboratory data and treatment after admission.
Figure 4.
Figure 4.
Apical four-chamber views of transthoracic echocardiography on day 4 (A and B) and day 12 (C and D) after admission. A and C, end-diastole; B and D, end-systole.
See this image and copyright information in PMC

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