Acute / Subacute Development of Diffuse Left Ventricular Myocardial Calcification in Sepsis Associated with High Mortality
WCS Chan, JPK Tsang, YW Hon, YC Wong
Hong Kong J Radiol 2016;19:e1-5
DOI: 10.12809/hkjr1615347
Diffuse myocardial calcification is very rare and can be either dystrophic or metastatic. Acute / subacute development of diffuse myocardial calcification of the left ventricle in an acute setting has been rarely reported but is found in a septic patient in our case. We believe that the cause of myocardial calcification is likely multifactorial. In particular, high-dose inotropic support is likely a contributing cause of calcification due to cardiomyopathy. More importantly, it is associated with very poor cardiac function and high mortality.
中文摘要
敗血症中具高死亡率的瀰漫性左室心肌鈣化的急性/亞急性發展
陳煥章、曾佩琪、韓予偉、王耀忠
瀰漫性心肌鈣化非常罕見，可能是萎縮性病變或轉移瘤引致。急性/亞急性瀰漫性左室心肌鈣化鮮有報導，作者在一個膿毒症患者中發現此症。特別是使用大劑量強心劑時有很多因素可以造成心肌鈣化。此病與心功能差相關並死亡率高。