Reversible Stress Cardiomyopathy in Guillain-Barré Syndrome

A Case Report

A. Gravos; A. Destounis; K. Katsifa; P. Tselioti; K. Sakellaridis; V. Grammatikopoulou; C. Tsapas; A. Nodarou; P. Batiani; A. Prekates


J Med Case Reports. 2019;13(150) 

In This Article


We report a case of severe reversed stress cardiomyopathy in a patient with GBS, which required prompt management in terms of diagnosis and treatment. Stress cardiomyopathy is a rare complication during the acute phase of GBS and must be distinguished from autonomic dysfunction. Echocardiography is the gold standard for diagnosis, and acute coronary disease and myocarditis should be ruled out. Especially, ECG abnormalities, such as negative T waves, and hemodynamic instability in a patient with GBS should alert the clinician to the presence of stress cardiomyopathy. Because this diagnosis should not be missed, TTE should be systematically performed when repolarization abnormalities in ECG are present in GBS, even in asymptomatic patients. Early identification leads to an appropriate treatment strategy and improves prognosis.