Document Detail


A case of neurogenic myocardial stunning presenting transient left ventricular mid-portion ballooning simulating atypical takotsubo cardiomyopathy.
MedLine Citation:
PMID:  18639778     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A 57-year-old female patient, who was initially suspected to have subarachnoid hemorrhage, was admitted to our hospital. She experienced severe dyspnea and chest pain owing to pneumonia on the fourth admission day. Electrocardiography showed ST-segment elevation in leads V(2) through V(5), and echocardiography revealed hypokinetic left ventricular wall motion. No stenosis was found in the coronary arteries by urgent coronary angiography. However, left ventriculography revealed that the basal and apical areas were hyperkinetic and the mid portion was akinetic. After a month, left ventricular wall motion was improved and coronary artery spasm provocation tests were negative. Although the clinical course of this patient was similar to that of neurogenic myocardial stunning, the shape of her left ventricle was not typical.
Authors:
Koji Yamaguchi; Tetsuzo Wakatsuki; Kenya Kusunose; Toshiyuki Niki; Kunihiko Koshiba; Hirotsugu Yamada; Takeshi Soeki; Masashi Akaike
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Publication Detail:
Type:  Journal Article     Date:  2008-05-08
Journal Detail:
Title:  Journal of cardiology     Volume:  52     ISSN:  1876-4738     ISO Abbreviation:  J Cardiol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804703     Medline TA:  J Cardiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  53-8     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Medicine, Tokushima University Hospital, 2-50-1 Kuramoto-cho, Tokushima 770-8503, Japan. yamakoji3@hotmail.com
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