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757, 776, 789, 795, 815, 832, 835, 859, 863, 1002, 1016, 1021, 1052, 1124, 1128, 1136, 1179, 1338, 1400, 1499], 'emergency': [265, 280, 864], 'department': [266, 865], 'cough,': [268], 'myalgia,': [269], 'progressive': [270, 913], 'shortness': [271, 867], 'breath,': [273], 'substernal': [275], 'chest': [276], 'pain.': [277], 'At': [278], 'department,': [281], 'patient': [283, 369, 808, 836, 860, 1086], 'was': [284, 413, 423, 474, 492, 497, 540, 557, 573, 646, 675, 733, 804, 812, 846, 879, 985, 1087, 1107, 1133, 1194], 'noted': [285], 'have': [287], 'sinus': [288], 'tachycardia': [289], '110': [291], '120': [293], 'beats': [294], 'per': [295, 529], 'minute,': [296], 'blood': [297, 334, 380, 427, 637], 'pressure': [298, 428, 503, 510, 518], '85': [300], '100/55': [302], '75': [304], 'mm': [305, 435, 506, 513, 521], 'Hg,': [306, 507, 514, 522], 'otherwise': [308, 1186], 'normal': [309, 351, 374], 'vital': [310], 'signs.': [311], 'Initial': [312], 'evaluation': [313, 944], 'revealed': [314, 426, 444, 500, 590, 890, 1031], 'leukocytosis': [315, 849], '18': [317, 520], '000': [318], 'cells/mm3,': [319], 'erythrocytosis': [320, 851, 1111], 'hemoglobin': [322], '20.5': [324], 'g/dL,': [325], 'elevated': [326, 332, 989], 'troponin': [327], 'T': [328], '0.12': [330], 'ng/mL,': [331], 'whole': [333, 636], 'lactate': [335], '3.9': [337], 'mmol/L,': [338], 'proBNP': [340], '(pro-B-type': [341], 'natriuretic': [342], 'peptide)': [343], '1419': [345], 'pg/mL.': [346], 'A': [347, 441, 551, 663, 874, 1531, 1594, 1605], 'bedside': [348], 'echocardiogram': [349, 443, 842, 889], 'showed': [350, 597, 681, 779, 1058], 'left': [352, 358, 454, 553, 892], 'right': [354, 456, 501, 894], 'ventricular': [355, 359, 457, 554, 586, 895], 'function,': [356, 1065], 'mild': [357, 905], '(LV)': [360], 'hypertrophy,': [361], 'moderate': [364, 461], 'size': [365, 462, 901, 1115], 'pericardial': [366, 463, 902], 'effusion.': [367], 'The': [368, 807, 983, 1085], 'received': [370], '3': [371], 'L': [372], 'intravenous': [373, 1091], 'saline': [375], 'no': [377, 438, 466, 591, 682, 838, 1146], 'improvement': [378], 'in': [379, 626, 709, 753, 862, 1001, 1013, 1123, 1135, 1141, 1149, 1178, 1341, 1377, 1436, 1576], 'pressure,': [381], 'which': [382, 1009], 'prompted': [383, 943], 'his': [384, 397, 820, 855, 1102], 'transfer': [385, 393], 'tertiary': [388], 'care': [389, 410], 'facility.During': [390], "patient's": [392, 571, 717, 746, 777, 796, 935, 1053], 'our': [395, 408, 1155], 'hospital,': [396], 'condition': [398, 909], 'deteriorated': [399, 911], 'worsening': [401], 'hypoxia': [402], 'hypotension.': [404], 'On': [405], 'arrival': [406], 'coronary': [409, 593], 'unit,': [411], 'he': [412], 'immediately': [414], 'intubated': [415], 'for': [416, 482, 881, 945, 1094], 'hypoxemic': [417], 'respiratory': [418, 1536], 'failure.': [419], 'An': [420, 648], 'arterial': [421], 'line': [422], 'placed': [424], 'that': [425, 615, 970, 1030, 1132], '80': [430, 434], '95/65': [432], 'Hg': [436], 'pulsus': [439], 'paradoxus.': [440], 'repeat': [442], 'severe': [445], 'global': [446], 'LV': [447, 451, 567, 906, 1114, 1130], 'systolic': [448], 'dysfunction': [449, 625], 'without': [450], 'dilatation,': [452], 'thickened': [453], 'walls,': [458], 'effusion': [464, 903], 'signs': [467, 531], 'tamponade.': [469], 'Mitral': [470], 'inflow': [471], 'Doppler': [472], 'interrogation': [473], 'not': [475, 929], 'consistent': [476, 761], 'restrictive': [478], 'physiology.': [479], 'Over': [480], 'concern': [481], 'cardiogenic': [483, 914, 981, 1189, 1287, 1609], 'shock': [484, 915, 939, 1610], 'from': [485, 722, 814, 962, 1101], 'fulminant': [486, 980, 1188], 'myocarditis,': [487, 1574], 'inotropic': [488, 536], 'support': [489, 803, 919], 'dobutamine': [491], 'initiated.': [493], 'Right': [494], 'heart': [495], 'catheterization': [496], 'performed': [498], 'atrial': [502], '13': [505], 'pulmonary': [508, 515], 'artery': [509], '23/18': [512], 'capillary': [516, 947, 1096, 1163, 1173, 1402, 1438, 1507, 1599], 'wedge': [517], 'cardiac': [524, 1026, 1379], 'index': [525], '1.04': [527], 'L/min': [528], 'm2.Given': [530], 'hemodynamic': [533], 'decompensation': [534], 'despite': [535], 'support,': [537], 'decision': [539], 'made': [541], 'initiate': [543], 'venoarterial': [544, 576, 921], 'extracorporeal': [545, 577, 922, 1278, 1614], 'membrane': [546, 578, 923, 1279, 1340, 1615], 'oxygenation': [547, 1280], 'via': [548], 'femoral': [549], 'vessels.': [550], 'percutaneous': [552], 'assist': [555, 587], 'device': [556, 588], 'implanted': [558], 'promote': [560], 'unloading': [561], 'help': [563], 'recovery': [565, 786, 1074], 'function': [568, 632, 737, 768, 798, 1117], 'while': [569], 'circulation': [572], 'supported': [574, 1195, 1611], 'by': [575, 871, 1196, 1443, 1603, 1612], 'oxygenation.1': [579], 'Coronary': [580], 'angiography': [581], 'time': [584, 739, 782, 1070], 'implantation': [589, 1271], 'significant': [592, 601, 751], 'disease.': [594], 'Endomyocardial': [595, 691], 'biopsy': [596, 692, 927], 'lack': [599], 'immune': [602], 'cell': [603, 766, 784, 1063, 1072], 'infiltration': [604], 'some': [606], 'degree': [607], 'cardiomyocyte': [609, 695], 'vacuolization': [610], '(Figure': [611, 1083], '[A])—a': [612], 'nonspecific': [613], 'finding': [614], 'has': [616, 971, 1144], 'been': [617, 973], 'associated': [618, 1607], 'increased': [620, 770, 1066], 'catecholamine': [621], 'levels2': [622], 'endothelial': [624, 705, 765, 991, 1044, 1062, 1388, 1496], 'response': [627], 'ischemic': [629, 1375], 'injury.3': [630], 'Thyroid': [631], 'studies': [633], 'were': [634, 640, 707, 1046], 'normal,': [635], 'cobalt': [638], 'levels': [639], 'undetectable,': [641], 'expanded': [643], 'urine': [644], 'toxicology': [645], 'unremarkable.': [647], 'extended': [649], 'viral': [650], 'panel': [651], '(including': [652], 'herpes': [653], 'simplex': [654], 'virus': [655], '1': [656], '2,': [658], 'cytomegalovirus,': [659], 'Epstein-Barr': [660], 'virus,': [661], 'coxsackie': [662], 'B,': [665, 670, 697, 1242, 1313, 1427], 'parainfluenza,': [666], 'adenovirus,': [667], 'hepatitis': [668], 'A,': [669, 690, 1254, 1267, 1425, 1562], 'C,': [672, 1238, 1365, 1367, 1429, 1486], 'HIV)': [674], 'negative.': [676], 'magnetic': [678, 1027], 'resonance': [679, 1028], 'imaging': [680, 1029], 'late': [683], 'gadolinium': [684], 'enhancement.Download': [685], 'figureDownload': [686], 'PowerPointFigure.': [687], 'Diagnostic': [688], 'findings.': [689], 'pathology': [693], 'showing': [694], 'vacuolization.': [696], 'Electric': [698], 'cell-substrate': [699], 'impedance': [700, 754], 'sensing': [701], 'results.': [702], 'Human': [703], 'aortic': [704, 1043], 'cells': [706, 773, 1045, 1077, 1463], 'cultured': [708], 'separate': [710], 'sterile': [711], 'wells': [712], 'exposed': [714, 743, 774, 1047], 'acute': [718, 963, 1054, 1137, 1535, 1573], 'phase': [719, 1055, 1138], 'serum,': [720, 729], 'serum': [721, 747, 778, 1006, 1056], 'healthy': [724], 'human': [725, 1042, 1081], 'volunteer,': [726], 'fetal': [727], 'bovine': [728], 'thrombin.': [731], 'Impedance': [732], 'measured': [734, 1464], 'as': [735, 975], 'after': [740, 819, 854], 'exposure.': [741], 'Cells': [742], 'demonstrated': [748], 'statistically': [750], 'decrease': [752], 'compared': [755, 787, 1075], 'other': [758, 790], 'subgroups': [759, 791], '(P<0.0001),': [760], 'loss': [763, 1060], 'barrier': [767, 785, 1064, 1073], 'permeability.': [771], 'Additionally,': [772], 'longer': [781, 1069], '(P<0.0001).Within': [792], 'week,': [794], 'myocardial': [797, 1033, 1169], 'improved,': [799], 'mechanical': [801, 917], 'circulatory': [802, 918], 'weaned': [805], 'successfully.': [806], 'fully': [809, 1100], 'recovered': [810, 1099], 'discharged': [813, 1108], 'hospital': [816, 857, 1104], '2': [817], 'weeks': [818], 'initial': [821, 877], 'presentation': [822, 878, 937], 'presumed': [825], 'diagnosis': [826, 984, 1181], 'atypical': [828, 1159], 'stress': [829], 'cardiomyopathy.': [830], 'During': [831], 'next': [833], 'year,': [834], 'had': [837, 1145], 'health-related': [839], 'incidents.': [840], 'Repeat': [841, 925], 'during': [843], 'regular': [844], 'follow-up': [845], 'normal.': [847], 'His': [848, 876, 888, 908, 1110], 'resolved.A': [852], 'year': [853], 'original': [856], 'admission,': [858], 'breath': [869], 'preceded': [870], 'laboratory-confirmed': [872], 'influenza': [873, 1604], 'infection.': [875], 'notable': [880], 'marked': [882], 'hemoconcentration': [883, 942, 959], '(hemoglobin': [884], '22.1': [886], 'g/dL).': [887], 'diffuse': [891, 1032], 'hypokinesis': [896], 'along': [897], 'small': [900], 'hypertrophy.': [907], 'rapidly': [910], 'requiring': [916], 'oxygenation.': [924], 'endomyocardial': [926], 'did': [928], 'reveal': [930], 'any': [931], 'evidence': [932], 'inflammation.The': [934], 'recurrent': [936, 1597], 'profound': [941], 'systemic': [946, 1095, 1162, 1172, 1401, 1437, 1506, 1598], 'leak': [948, 1097, 1164, 1174, 1403, 1439, 1508, 1529, 1600], 'syndrome,4': [949], 'rare': [951, 1532], 'disorder': [952], 'whose': [953], 'hallmarks': [954], 'are': [955], 'episodic': [956], 'attacks': [957], 'hypovolemia': [961], 'fluid': [964], 'shifts': [965], 'into': [966], 'skeletal': [967], 'muscle,': [968], 'but': [969], 'also': [972], 'reported': [974], 'unusual': [977], 'cause': [978, 1533], 'shock.5': [982], 'confirmed': [986], 'vascular': [990, 1385], 'growth': [992], 'factor': [993], 'level': [994], '0.34': [997], 'g/dL': [998], 'monoclonal': [999], 'spike': [1000], 'gamma': [1003], 'region': [1004], 'on': [1005, 1089, 1274, 1572], 'protein': [1007], 'electrophoresis,3': [1008], 'is': [1010, 1204], 'often': [1011], 'present': [1012, 1134], 'patients': [1014, 1183, 1285], 'disease.4': [1017], 'Additional': [1018], 'confirmation': [1019], 'disease': [1022, 1386, 1504], 'pathophysiology': [1023], 'followed': [1024], 'edema': [1034], 'subsequent': [1038], 'experimental': [1039], 'assay': [1040], 'where': [1041], 'sample': [1050], 'permeability,': [1067], 'treated': [1078], 'control': [1080], 'serum6,7': [1082], '[B]).': [1084], 'started': [1088], 'monthly': [1090], 'immunoglobulin': [1092], 'therapy': [1093], 'syndrome.He': [1098], 'second': [1103], 'admission': [1105], 'home.': [1109], 'resolved,': [1112], 'normalized.': [1118], 'Movies': [1119], 'I': [1120], 'II': [1122], 'Data': [1125, 1202], 'Supplement': [1126, 1203], 'show': [1127], 'transient': [1129], 'hypertrophy': [1131], 'resolved': [1140], 'recovery.': [1142], 'He': [1143], 'further': [1147], 'episodes': [1148], 'over': [1150], '1-year': [1151], 'follow-up.': [1152], 'In': [1153], 'summary,': [1154], 'report': [1156], 'highlights': [1157], 'case': [1160, 1595], 'syndrome': [1165, 1175, 1601], 'presenting': [1166, 1184], 'primary': [1168], 'involvement.': [1170], 'Therefore,': [1171], 'should': [1176], 'be': [1177], 'differential': [1180], 'unexplained': [1187], 'shock.Sources': [1190], 'FundingThis': [1192], 'work': [1193], 'NIH': [1197], 'T32-HL007227': [1198], 'Dr': [1200], 'Arvanitis.DisclosuresNone.FootnotesThe': [1201], 'available': [1205], 'this': [1207], 'article': [1208], 'https://www.ahajournals.org/doi/suppl/10.1161/CIRCHEARTFAILURE.119.006097.Steven': [1210], 'protected]eduReferences1.': [1234], 'Pappalardo': [1235], 'F,': [1236, 1261, 1413], 'Schulte': [1237], 'Pieri': [1239], 'M,': [1240, 1259, 1556, 1560], 'Schrage': [1241], 'Contri': [1243], 'R,': [1244, 1250, 1307, 1480], 'Soeffker': [1245], 'G,': [1246, 1554], 'Greco': [1247], 'T,': [1248], 'Lembo': [1249], 'Müllerleile': [1251], 'K,': [1252, 1256], 'Colombo': [1253], 'Sydow': [1255], 'De': [1257], 'Bonis': [1258], 'Wagner': [1260], 'Reichenspurner': [1262], 'H,': [1263], 'Blankenberg': [1264], 'S,': [1265, 1482, 1587], 'Zangrillo': [1266], 'Westermann': [1268], 'D.': [1269], 'Concomitant': [1270], 'Impella®': [1273], 'top': [1275, 1518], 'veno-arterial': [1277, 1613], 'may': [1281], 'improve': [1282], 'survival': [1283], 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