Hariri Essa, Scandinaro Anna, Al Hammoud Mazen M, Kasper Ashley, Parris Craig, Bakhtadzi Beka, Higgins Andrew
Department of Internal Medicine, Cleveland Clinic Cleveland, OH.
Lebanese American University, Gilbert and Rose-Marie Chagoury School of Medicine Beirut, Lebanon.
US Cardiol. 2023 Feb 9;17:e01. doi: 10.15420/usc.2022.22. eCollection 2023.
The diagnosis and treatment of new-onset systolic dysfunction can be challenging, particularly in patients presenting with cardiogenic shock. We present a case of a young African-American man who was admitted for cardiogenic shock following an admission a month earlier for treatment- resistant psychosis. He was diagnosed with medication-induced cardiomyopathy, which resolved with a remarkable recovery of his systolic function after discontinuation of the culprit medication, clozapine.
新发收缩功能障碍的诊断和治疗可能具有挑战性,尤其是在出现心源性休克的患者中。我们报告一例年轻的非裔美国男性病例,他一个月前因难治性精神病入院治疗,此次因心源性休克再次入院。他被诊断为药物性心肌病,停用罪魁祸首药物氯氮平后,其收缩功能显著恢复,心肌病也随之缓解。