TITLE

Tako-Tsubo-Like Syndrome With Atypical Clinical Presentation: Case Report and Literature Review

AUTHOR(S)
Ripa, Chiara; Olivier, Fabiola; Antonicelli, Roberto
PUB. DATE
August 2009
SOURCE
Angiology;Aug/Sep2009, Vol. 60 Issue 4, p513
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
A 78-year-old woman presented herself at emergency for the appearance of severe dyspnea. An electrocardiogram showed signs of inferior and anterior necrosis, and laboratory tests showed a small increase of myocardial cytonecrosis enzymes. An echocardiogram detected a reduction of global systolic function (ejection fraction [EF] approximately 40%) as well as akinesia of the apex, interventricular septum middle segments, and anterior and anterolateral walls, with basal segments showing compensatory hyperkinesia. The coronarography showed a coronary tree substantially free from significant lesions. The patient was transferred to the cardiology unit of our hospital. Based on the contained increase of the cardiac enzymes, the absence of coronary lesions, and the presence of typical echocardiography alterations, we suspected a Tako-tsubo-like syndrome. On deeper anamnestic investigation, an event of strong emotional stress emerged preceding the hospital admission that confirmed the pathology, even though it is atypical to see clinical presentation a long time after a stressful event.
ACCESSION #
44321407

 

Related Articles

  • Radiofrequency ablation improving LV function in cardiomyopathy secondary to low burden of premature ventricular complexes. Shariff, Nasir; Makowski, Daniel; Levin, Vadim // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Dec2013, Vol. 13 Issue 8, p812 

    No abstract available.

  • Takotsubo cardiomyopathy associated with hyperthyroidism treated with thyroidectomy. Omar, Sabry; Ali, Emad; Mazek, Haitham; Mahmoud, Tashfeen; Suthipong Soontrapa; Suarez, Jose // Baylor University Medical Center Proceedings;Apr2015, Vol. 28 Issue 2, p194 

    Takotsubo cardiomyopathy is an uncommon clinical entity, also called apical ballooning syndrome, characterized by transient systolic dysfunction of the apical and/or mid segments of the left ventricle. We report a case that highlights takotsubo syndrome in the setting of thyrotoxicosis that...

  • ECG of the month. Regan, Claire // British Journal of Cardiac Nursing;Mar2010, Vol. 5 Issue 3, p110 

    A quiz concerning the electrocardiography findings of a 47-year old female who was admitted at the emergency department due to chest tightness and breathlessness is presented.

  • lesson of the month (2). Sharp, Gary; Weerakody, Roshan; Ricketts, Williams; Perkins, Zane // Clinical Medicine;Jun2013, Vol. 13 Issue 3, p312 

    The article presents a case study of a 69-year-old female with acute left sided chest pain and dyspnoea. It states that the electrocardiogram (ECG) has showed right bundle branch block and segment (ST)-elevation in the anterolateral leads. It notes that a diagnosis of takotsubu cardiomyopathy...

  • In CHF, the importance of ECG abnormalities rests on the etiology of the CHF.  // Modern Medicine;Jun95, Vol. 63 Issue 6, p48 

    Presents an abstract on the article `Prognostic Value of the Signal-Averaged Electrocardiogram and a Prolonged QRS in Ischemic and Nonischemic Cardiomyopathy,' by M.E. Silverman, M.D. Pressel, et al., which was published in the `American Journal of Cardiology' dated March 1, 1995.

  • LEFT VENTRICULAR NON-COMPACTION (LVNC): INHERITANCE AND NATURAL HISTORY. Ward, D.; Shah, J. S.; Tome, M.; McGany, K.; Murphy, R. T.; McKenna, W. J.; Elliott, P. M. // Heart;May2004 Supplement 2, Vol. 90, pA59 

    This study describes the natural history of left ventricular non-compaction (LVNC) in patients consecutively identified at a referral centre for cardiomyopathy over a 10 year period, and the prevalence and characteristics of disease in their relatives. Forty five unrelated patients with LVNC...

  • Takotsubo Cardiomyopathy in Two Patients without Any Cardiac Symptom on Maintenance Hemodialysis. Muratsu, Jun; Morishima, Atsuyuki; Ueda, Hiroyasu; Hiraoka, Hisatoyo; Sakaguchi, Katsuhiko // Case Reports in Nephrology;2013, p1 

    Takotsubo cardiomyopathy is a disorder characterized by left ventricular apical ballooning and electrocardiographic changes in the absence of coronary artery disease. While reversible in many cases, the mechanism of this disorder remains unclear. The most frequent clinical symptoms of takotsubo...

  • C-Reactive Protein in Dilated Cardiomyopathy. Kaneko, Katsumi; Kanda, Tsugiyasu; Yamauchi, Yasuhiko; Hasegawa, Akira; Iwasaki, Tsutomu; Arai, Masashi; Suzuki, Tadashi; Kobayashi, Isao; Nagai, Ryozo // Cardiology;1999, Vol. 91 Issue 4, p215 

    The prognosis for patients with idiopathic dilated cardiomyopathy (DCM) is poor, although clinical features are variable. Prediction of outcome has been difficult in individual patients based on laboratory data. In some patients with DCM, myocardial damage secondary to viral or immune-mediated...

  • The Treatment of Heart Failure-Related Symptoms with Ivabradine in a Case with Peripartum Cardiomyopathy. Demir, Serafettin; Tufenk, Mucahit; Karakaya, Zeynep; Akilli, Rabia; Kanadas, Mehmet // International Cardiovascular Research Journal;2013, Vol. 7 Issue 1, p33 

    Peripartum cardiomyopathy is a form of dilated cardiomyopathy that is defined as deterioration in cardiac function presenting typically between the last month of pregnancy and up to five months postpartum. As with other forms of dilated cardiomyopathy, PPCM involves systolic dysfunction of the...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics