Adrenergic Inhibition with Dexmedetomidine to Treat Stress Cardiomyopathy during Alcohol Withdrawal: A Case Report and Literature Review

Figure 1

Initial transthoracic echocardiogram in the acute setting revealing features suggestive of stress cardiomyopathy. Systolic (a) and diastolic (b) apical 4-chamber views reveal akinetic apical and mid-anteroseptal segments (arrowheads) with hyperdynamic middle segments. Systolic (c) and diastolic (d) apical 2-chamber views disclose normal wall motion of the mid-cavity (arrows). The circumferential pattern of left ventricular myocardial dysfunction characterized by symmetric wall motion abnormalities involving the septal, anterior, and lateral walls is highly suggestive of stress cardiomyopathy.

(a)

(b)

(c)

(d)