• Internal medicine · Jul 2024

    Case Reports

    Hemodialysis-induced Myocardial Stunning with No Obstructive Coronary Artery Disease: Pathophysiological Significance of Coronary Microvascular Dysfunction.

    • Masashi Yokoi, Tsuyoshi Ito, Wataru Suzuki, Junki Yamamoto, Takafumi Nakayama, Taku Ichihashi, Shohei Kikuchi, Shuichi Kitada, Toshihiko Goto, and Yoshihiro Seo.
    • Department of Cardiology, Nagoya City University Graduate School of Medical Sciences, Japan.
    • Intern. Med. 2024 Jul 15; 63 (14): 202320262023-2026.

    AbstractHemodialysis (HD)-induced myocardial stunning, characterized by transient left ventricular systolic dysfunction during HD, has been reported to be common and associated with a poor prognosis. However, the pathophysiology is not fully understood. We herein report a case of HD-induced myocardial stunning without obstructive coronary artery disease complicated by coronary microvascular dysfunction (CMD), suggesting that CMD plays a crucial role in the pathophysiology of this disease.

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