Document Detail


Left ventricular free wall rupture in a Caucasian female with Takotsubo syndrome: a case report and a brief literature review.
MedLine Citation:
PMID:  17122674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The takotsubo syndrome is a clinical entity that can mimic an acute myocardial infarction. It is characterised by anginal chest pain with ST-T elevation in precordial leads, without coronary obstruction at angiography; its distinctive feature is a peculiar pattern of left ventricular contraction, with expansion of the apical segments and basal hyperkinesis, also known as 'apical ballooning'. This syndrome usually has a good prognosis, with normalisation of the left ventricular contraction impairment within several days, although Japanese authors have described two cases of free left ventricular wall rupture in these patients.We describe a case of apical ballooning syndrome complicated by left ventricular rupture in a Caucasian old female. To our knowledge, this is the first-ever case of a fatal outcome in the Caucasian population, due to free wall ventricular rupture, and confirms that the takotsubo syndrome may lead to a fatal cardiac event.
Authors:
Antonio Mafrici; Riccardo Proietti; Rossana Fusco; Annamaria De Biase; Silvio Klugmann
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  7     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-23     Completed Date:  2007-01-30     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  880-3     Citation Subset:  IM    
Affiliation:
ICCU Cardiology Department A. De Gasperis, Niguarda Ca Granda Hospital, Milan, Italy. amafric@tin.it
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Cardiomyopathies / complications*,  diagnosis,  ethnology
Electrocardiography
European Continental Ancestry Group
Female
Heart Rupture / etiology*
Humans
Myocardial Infarction / diagnosis

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


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