Document Detail

Near-drowning syndrome: a possible trigger of tako-tsubo cardiomyopathy.
MedLine Citation:
PMID:  18404003     Owner:  NLM     Status:  MEDLINE    
We report a case of transient tako-tsubo cardiomyopathy characterized by an unusual trigger in a woman victim of near-drowning syndrome. After 24 h, electrocardiogram changes and a typical echocardiographic pattern of apical ballooning with a mild increase of serum troponin level induced the suspicion of tako-tsubo cardiomyopathy despite the absence of chest pain. Left ventriculography confirmed the apical ballooning, and coronary angiography revealed normal coronary arteries. Electrocardiogram changes and apical contraction abnormalities were reversed within 1 month. In conclusion, we hypothesize that hypoxemia related to near-drowning syndrome could have induced transient myocardial dysfunction mediated by a sympathetic nerve activation.
Rudolfo Citro; Marco Mariano Patella; Eduardo Bossone; AntonGiulio Maione; Gennaro Provenza; Giovanni Gregorio
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  9     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-08-26     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:  501-5     Citation Subset:  IM    
UO UTIC-Cardiologia San Luca Hospital, Vallo della Lucania SA, Italy.
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MeSH Terms
Middle Aged
Near Drowning / complications*
Takotsubo Cardiomyopathy / diagnosis,  etiology*,  physiopathology

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

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