Abstract
A 35-year-old woman with no past medical history presented to her local emergency room with 2 days of fevers, chills, and myalgias. She was febrile with a temperature of 102°F, blood pressure of 95/60 (72) mm Hg, heart rate of 110 bpm, respiratory rate of 20 breaths per minute, and an oxygen saturation of 100% on 2 L oxygen. The physical examination was notable for cool extremities, clear lungs, and tachycardic heart sounds with no s3, s4, or friction rub. The patient decompensated quickly and developed hypotension, requiring rapid uptitration of norepinephrine to 12 μg · kg<sup>-1</sup>•min<sup>-1</sup>. The ECG (Figure 1) showed sinus tachycardia with ST-segment elevation in the inferolateral leads. Laboratory results were notable for cardiac troponin of 3.89 ng/mL (normal range, 0-0.08 ng/mL), venous lactate of 3.5 mmol/L (normal range, 0.50-2.20 mmol/L), white blood cell count of 17.0×109 per 1 L (normal range, 3.5-9.1×109 per 1 L), and hemoglobin of 12.4 g/dL (normal range, 13.3-16.2 g/ dL) with preserved hepatic and renal function.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1703-1711 |
| Number of pages | 9 |
| Journal | Circulation |
| Volume | 131 |
| Issue number | 19 |
| DOIs | |
| State | Published - 2015 |
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Keywords
- Heart failure
- Heart-assist devices
- Myocarditis
- Shock
ASJC Scopus subject areas
- Physiology (medical)
- Cardiology and Cardiovascular Medicine
- Medicine(all)
Cite this
A cold taken to heart. / Mody, Kanika P.; Lyons, James J.; Jorde, Ulrich P.; Uriel, Nir.
In: Circulation, Vol. 131, No. 19, 2015, p. 1703-1711.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A cold taken to heart
AU - Mody, Kanika P.
AU - Lyons, James J.
AU - Jorde, Ulrich P.
AU - Uriel, Nir
PY - 2015
Y1 - 2015
N2 - A 35-year-old woman with no past medical history presented to her local emergency room with 2 days of fevers, chills, and myalgias. She was febrile with a temperature of 102°F, blood pressure of 95/60 (72) mm Hg, heart rate of 110 bpm, respiratory rate of 20 breaths per minute, and an oxygen saturation of 100% on 2 L oxygen. The physical examination was notable for cool extremities, clear lungs, and tachycardic heart sounds with no s3, s4, or friction rub. The patient decompensated quickly and developed hypotension, requiring rapid uptitration of norepinephrine to 12 μg · kg-1•min-1. The ECG (Figure 1) showed sinus tachycardia with ST-segment elevation in the inferolateral leads. Laboratory results were notable for cardiac troponin of 3.89 ng/mL (normal range, 0-0.08 ng/mL), venous lactate of 3.5 mmol/L (normal range, 0.50-2.20 mmol/L), white blood cell count of 17.0×109 per 1 L (normal range, 3.5-9.1×109 per 1 L), and hemoglobin of 12.4 g/dL (normal range, 13.3-16.2 g/ dL) with preserved hepatic and renal function.
AB - A 35-year-old woman with no past medical history presented to her local emergency room with 2 days of fevers, chills, and myalgias. She was febrile with a temperature of 102°F, blood pressure of 95/60 (72) mm Hg, heart rate of 110 bpm, respiratory rate of 20 breaths per minute, and an oxygen saturation of 100% on 2 L oxygen. The physical examination was notable for cool extremities, clear lungs, and tachycardic heart sounds with no s3, s4, or friction rub. The patient decompensated quickly and developed hypotension, requiring rapid uptitration of norepinephrine to 12 μg · kg-1•min-1. The ECG (Figure 1) showed sinus tachycardia with ST-segment elevation in the inferolateral leads. Laboratory results were notable for cardiac troponin of 3.89 ng/mL (normal range, 0-0.08 ng/mL), venous lactate of 3.5 mmol/L (normal range, 0.50-2.20 mmol/L), white blood cell count of 17.0×109 per 1 L (normal range, 3.5-9.1×109 per 1 L), and hemoglobin of 12.4 g/dL (normal range, 13.3-16.2 g/ dL) with preserved hepatic and renal function.
KW - Heart failure
KW - Heart-assist devices
KW - Myocarditis
KW - Shock
UR - http://www.scopus.com/inward/record.url?scp=84936104417&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84936104417&partnerID=8YFLogxK
U2 - 10.1161/CIRCULATIONAHA.114.013355
DO - 10.1161/CIRCULATIONAHA.114.013355
M3 - Article
C2 - 25964280
AN - SCOPUS:84936104417
VL - 131
SP - 1703
EP - 1711
JO - Circulation
JF - Circulation
SN - 0009-7322
IS - 19
ER -