[Ampulla cardiomyopathy induced by meningitis: two case reports].

────────────────────────────────────────────── 市立室蘭総合病院 循環器科:〒051-8512 北海道室蘭市山手町3丁目8-1 Division of Cardiovascular Medicine, Muroran City General Hospital, Hokkaido Address for correspondence : KYUMA M, MD, Division of Cardiovascular Medicine, Muroran City General Hospital, Yamate-cho 38-1, Muroran, Hokkaido 051-8512 ; E-mail : murohosp022@kujiran.jp Manuscript received January 12, 2006 ; revised June 25 and July 31, 2006 ; accepted August 11, 2006 ───────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────────── Two patients presented with ampulla cardiomyopathy induced by meningitis. A 71-year-old man with meningitis was admitted to our neurosurgery division. Emergent coronary angiography was performed, because of sudden blood pressure fall and ST elevation in the precordial leads. Left ventriculography and coronary angiography revealed apical ballooning without coronary stenosis. A 73-year-old woman with meningitis was admitted to another hospital. She felt chest pain. Electrocardiography showed ST elevation in the precordial leads. She was transferred to our division. Echocardiography revealed apical ballooning and hyperkinesis of the base. Creatine kinase level showed no elevation on admission or 8 hr later. Ampulla cardiomyopathy with cerebrovascular disease is common, but rare with meningitis, which needs intensive care because of the risk of respiratory arrest. ─────────────────────────────────────────────────────────────────────────────────────────────────────────────────────J Cardiol 2006 Nov ; 48(5): 273-278