Clinical Endoscopy

Case Report

Two Cases of Stress Cardiomyopathy during Esophagogastroduodenoscopy: Jong Won Yu, Jongha Park, Pil Sang Song, Jae Hyun Park, Min Sung Kim, Gi Jung Jeon, Min Sik Kim, Tae Oh Kim; Clin Endosc 2016;49(1):76-80. Published online January 28, 2016; DOI: https://doi.org/10.5946/ce.2016.49.1.76

Esophagogastroduodenoscopy (EGD) is considered a relatively safe procedure. However, the procedure and the materials used in EGD with conscious sedation can cause stress to the patient. Adverse events during EGD have been reported, represented by cardiopulmonary complications. To date, five cases have reported worldwide to be associated with gastrointestinal endoscopy. Stress cardiomyopathy (SCMP) is a reversible cardiomyopathy that typically occurs in postmenopausal women due to stress and may resolve within a few weeks. SCMP resembles acute myocardial infarction but differs in terms of treatment and prognosis. Here, we describe two cases of SCMP with shock during EGD with conscious sedation.

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