Document Detail


Documentation of dynamic electrocardiographic changes shortly after the onset of tako-tsubo cardiomyopathy.
MedLine Citation:
PMID:  17079037     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 76-year-old female with atrial fibrillation and prior cerebral infarction had chest discomfort during rehabilitation for left hemiparesis, and visited the nearby hospital. Her ECG, which was obtained 10 min after the onset, showed marked ST-segment elevation in leads I, II, III, aV(F) and V(2-6), and she was referred to our hospital for cardiac examination. On admission, her ECG, which was obtained 50 min after the onset, showed poor R wave progression and mild ST-segment elevation in leads V(5-6). During only 10 min after the admission, the ST-segment level increased dynamically, and it decreased spontaneously again. Left ventriculography showed akinesia of the mid-to-distal portion and hyperkinesia of the basal portion of the left ventricular chamber, and coronary angiography showed no significant coronary artery disease despite of significant ST-segment elevation. We diagnosed her as having tako-tsubo cardiomyopathy. She was discharged well 10 days later.
Authors:
Satoshi Kurisu; Ichiro Inoue; Takuji Kawagoe; Masaharu Ishihara; Yuji Shimatani; Takaki Hata; Yasuharu Nakama; Yasufumi Kijima; Eisuke Kagawa
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Publication Detail:
Type:  Case Reports; Letter     Date:  2006-10-31
Journal Detail:
Title:  International journal of cardiology     Volume:  119     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  258-60     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiomyopathies / diagnosis,  physiopathology*
Coronary Angiography
Diagnosis, Differential
Echocardiography
Electrocardiography
Female
Heart Catheterization
Heart Ventricles / abnormalities*
Humans

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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