| Takotsubo cardiomyopathy presenting as multivessel coronary spasm syndrome: case report and review of the literature. | |
| | |
MedLine Citation:
|
PMID: 17982973 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Takotsubo' cardiomyopathy, more recently called transient left ventricular apical ballooning syndrome, is a recently described acute cardiac syndrome. This increasingly reported syndrome consists of an acute onset of transient extensive akinesia of the apical and mid-portions of the left ventricle, producing ballooning of the apex in systole in the absence of significant coronary artery disease. The syndrome is accompanied by angina-like chest pain, electrocardiographic changes and minimal release of cardiac enzymes and biomarker levels, mimicking an acute myocardial infarction and is often preceded by an episode of emotional or physical stress, which may play a key role in the pathogenesis of the disorder. However, the exact mechanism still remains unknown. We describe the history of an 83-year-old man presenting to the emergency department with clinical findings of acute myocardial infarction with ST-segment elevation in the precordial leads, but emergency coronarography showed no significant obstruction. Left ventricular angiography demonstrated the typical apical ballooning. ST-segment elevation in the precordial leads on the admission ECG resolved the day after, but new anginal chest pain was accompanied by transient ST-segment elevation in the inferior leads, suggesting multivessel coronary spasm. Awareness of the existence of the syndrome is important and should be considered in the differential diagnosis of patients presenting with an acute coronary syndrome. |
| | |
Authors:
|
Vicky Sansen; Germain Holvoet |
Related Documents
:
|
2119263 - Significance of initial st segment elevation and depression for the management of throm... 17291603 - Acute cannabis intoxication mimicking brugada-like st segment abnormalities. 18154963 - T-wave alternans, restitution of human action potential duration, and outcome. |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: Acta cardiologica Volume: 62 ISSN: 0001-5385 ISO Abbreviation: Acta Cardiol Publication Date: 2007 Oct |
Date Detail:
|
Created Date: 2007-11-06 Completed Date: 2008-02-08 Revised Date: 2009-06-11 |
Medline Journal Info:
|
Nlm Unique ID: 0370570 Medline TA: Acta Cardiol Country: Belgium |
Other Details:
|
Languages: eng Pagination: 507-11 Citation Subset: IM |
Affiliation:
|
Dept. of Internal Medicine, University of Leuven, Belgium. vickysansen@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged, 80 and over Chest Pain / diagnosis Coronary Vasospasm / diagnosis*, physiopathology Diagnosis, Differential Heart Ventricles / pathology Humans Male Takotsubo Cardiomyopathy / diagnosis*, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The relationship between Helicobacter pylori IgG titre and coronary atherosclerosis.
Next Document: Mediastinal thymoma invading the superior vena cava and the right atrium.