Document Detail

Recurrence of takotsubo cardiomyopathy: role of multi-detector computed tomography coronary angiography.
MedLine Citation:
PMID:  24396368     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Takotsubo cardiomyopathy (TCM), also known as stress-induced cardiomyopathy, is a clinical syndrome of transient left ventricular (LV) apical wall motion abnormality with relative preservation of the basal heart segments in the absence of any significant atherosclerosis. Recurrence of this condition is rare. We report a postmenopausal woman, who experienced two episodes of TCM within 4 months following emotional and physical stress. In the first episode, she was admitted due to severe dyspnea, accompanied by sudden-onset, prolonged, burning chest pain and palpitation. Transthoracic echocardiography revealed akinesia of the LV, with the exception of the basal regions. Coronary angiography demonstrated no significant coronary artery disease, and follow-up echocardiography showed normalization of the LV wall motion abnormalities. In the second episode, she experienced similar symptoms and echocardiography revealed similar changes. Multi-detector computed tomography revealed normal coronary arteries. After 9 days, she was discharged in good condition; and at 3 months' follow-up, she was symptom-free with normal echocardiography.
Yaser Jenab; Marzieh Pakbaz; Neda Ghaffari-Marandi
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Publication Detail:
Type:  Journal Article     Date:  2013-07-30
Journal Detail:
Title:  The journal of Tehran Heart Center     Volume:  8     ISSN:  1735-5370     ISO Abbreviation:  J Tehran Heart Cent     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2014-01-07     Completed Date:  2014-01-07     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  101289255     Medline TA:  J Tehran Heart Cent     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  164-6     Citation Subset:  -    
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