The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Reports |

Stunned Myocardium in the Toxic Shock Syndrome

Jennie R. Crews, MD; J. Kevin Harrison, MD; G. Ralph Corey, MD; Charles Steenbergen, MD, PhD; and Thomas M. Bashore, MD
[+] Article, Author, and Disclosure Information

Requests for Reprints: J. Kevin Harrison, MD, Box 3331, Duke University Medical Center, Durham, NC 27710.

Current Author Addresses: Dr. Crews: Box 31108, Duke University Medical Center, Durham, NC 27710.

Dr. Harrison: Box 3331, Duke University Medical Center, Durham, NC 27710.

Dr. Corey: Box 3038, Duke University Medical Center, Durham, NC 27710.

Dr. Steenbergen: Box 3712, Duke University Medical Center, Durham, NC 27710.

Dr. Bashore: Box 3012, Duke University Medical Center, Durham, NC 27710.

Ann Intern Med. 1992;117(11):912-913. doi:10.7326/0003-4819-117-11-912
Text Size: A A A
This excerpt has been provided in the absence of an abstract.

Although it is not commonly recognized, myocardial dysfunction in the toxic shock syndrome may be severe, even life-threatening (1, 2). The cause of this acute cardiomyopathy remains unclear. Clinically, left ventricular dysfunction in the toxic shock syndrome has been reversible, similar to prolonged but transient postischemic myocardial dysfunction, a process termed "stunned myocardium" (3). Cardiac histopathologic findings in the toxic shock syndrome are limited to autopsy data, and the pathologic changes seen have been modest compared with the clinical severity of left ventricular dysfunction (4, 5). We report the first premortem cardiac histologic findings in a patient with severe, acute


First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.