A 23-year-old woman with a history of remote diffuse axonal injury-associated traumatic brain injury developed sudden circulatory collapse requiring prolonged pre-hospital cardiopulmonary resuscitation, vasopressors, and intubation. Her recent medical history included depression, mild psycho-organic syndrome, chronic musculoskeletal pain, nonsteroidal anti-inflammatory drug abuse, nootropic therapy, and smoking. There were no known tendencies of allergy. Shortly after her admission to an intensive care unit, the patient was noted to be hemodynamically unstable with a critical score of Glasgow Coma Scale (GCS 4). The electrocardiogram showed marked ST-segment elevation in all leads. Echocardiography showed mild concentric left ventricle hypertrophy, global hypokinesis, and severe left ventricular dysfunction. The right ventricle was mildly dilated and hypokinetic. The laboratory evaluation was remarkable for elevated levels of cardiac troponins and C-reactive protein. The white blood...
Notes
Acknowledgements
The authors would like to express their sincere thanks to Professor Ivo Šteiner for his valuable comments and insightful suggestions on this paper.
Compliance with ethical standards
This article does not contain any studies with human participants or animals performed by any of the authors.
Conflict of interest
The authors declare that they have no conflict of interest.
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