Document Detail


Tako-tsubo-like left ventricular dysfunction in a patient with chronic total occlusion of the left anterior descending artery.
MedLine Citation:
PMID:  17434632     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes a case of tako-tsubo-like left ventricular dysfunction in a patient with chronically occluded left anterior descending artery. A 74-year-od female, experiencing severe pain due to osteoarthritis, presented with chest pain lasting for 6 h. Electrocardiography revealed ST-segment elevation in the anterior and lateral walls. Left ventriculography in the acute phase displayed an akinetic apex and hyperkinetic basal region. Emergent coronary angiography revealed total occlusion of the left anterior descending artery. Although direct coronary angioplasty to the totally occluded left anterior descending artery was unsuccessful, the left ventricular function returned to normal within three weeks after admission. Thallium scintigraphy showed no significant abnormality, and cardiac enzyme elevation showed only a slight increase. In this case, tako-tsubo-like left ventricular dysfunction was considered to occur in the presence of chronically occluded left anterior descending artery.
Authors:
Taro Kojima; Junya Ako; Masato Eto; Katsuya Iijima; Masahiro Akishita; Yasuyoshi Ouchi
Publication Detail:
Type:  Case Reports; Letter     Date:  2007-04-16
Journal Detail:
Title:  International journal of cardiology     Volume:  119     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-07-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e19-21     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Coronary Angiography*
Coronary Artery Disease / radiography*,  radionuclide imaging*
Female
Humans
Myocardial Infarction / radiography,  radionuclide imaging
Radionuclide Ventriculography*
Ventricular Dysfunction, Left / radiography*,  radionuclide imaging*

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


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