BACKGROUND/ OBJECTIVE: To describe a case of fatigue associated with cardiomyopathy in a man with spinal cord injury. STUDY DESIGN: Case report. SUBJECT: An obese 35-year-old man with long-term ASIA A L2 paraplegia, accompanied by a 2-year history of progressive severe fatigue. METHODS: Physical examination showed obesity, hypertension, tachycardia, and pitting edema. An echocardiogram showed a 20% ejection fraction, severe dilation, and global hypokinesis in the left ventricle and mild to moderate mitral regurgitation. RESULTS: Symptoms improved after treatment with furosemide, warfarin, ramipril, and continuous positive airway pressure for obstructive sleep apnea. CONCLUSION: Severe progressive fatigue in a patient with chronic SCI may signal cardiomyopathy. Diagnostic studies may be warranted in patients with progressive fatigue.
BACKGROUND/ OBJECTIVE: To describe a case of fatigue associated with cardiomyopathy in a man with spinal cord injury. STUDY DESIGN: Case report. SUBJECT: An obese 35-year-old man with long-term ASIA A L2 paraplegia, accompanied by a 2-year history of progressive severe fatigue. METHODS: Physical examination showed obesity, hypertension, tachycardia, and pitting edema. An echocardiogram showed a 20% ejection fraction, severe dilation, and global hypokinesis in the left ventricle and mild to moderate mitral regurgitation. RESULTS: Symptoms improved after treatment with furosemide, warfarin, ramipril, and continuous positive airway pressure for obstructive sleep apnea. CONCLUSION: Severe progressive fatigue in a patient with chronic SCI may signal cardiomyopathy. Diagnostic studies may be warranted in patients with progressive fatigue.
Authors: H L Frankel; J R Coll; S W Charlifue; G G Whiteneck; B P Gardner; M A Jamous; K R Krishnan; I Nuseibeh; G Savic; P Sett Journal: Spinal Cord Date: 1998-04 Impact factor: 2.772
Authors: Danúbia Sá-Caputo; Laisa Paineiras-Domingos; Rafaelle Carvalho-Lima; Glenda Dias-Costa; Patrícia de Castro de Paiva; Claudia Figueiredo de Azeredo; Roberto Carlos Resende Carmo; Carla F Dionello; Eloá Moreira-Marconi; Éric Heleno F F Frederico; Cintia Renata Sousa-Gonçalves; Danielle S Morel; Dulciane N Paiva; Núbia C P Avelar; Ana C Lacerda; Carlos E V Magalhães; Leonardo S Castro; Giuseppe A Presta; Severo de Paoli; Borja Sañudo; Mario Bernardo-Filho Journal: Afr J Tradit Complement Altern Med Date: 2017-07-07