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Stress-Induced Cardiomyopathy
- Stress-induced cardiomyopathy (SIC) can be seen in a variety of critical illnesses, especially severe neurologic conditions.
- SIC is believed to be caused by excess sympathetic stimulation of the myocardium.
- When managing a patient with SIC, limit further catecholamine exposure by avoiding vasopressors if possible.
- If the patient requires inotropic support, consider using an agent without catecholamine activity, such as milrinone.
References
Boland TA, et al. Stress-induced cardiomyopathy. Crit Care Med 2015; 43:868-93.