Document Detail

A case of takotsubo cardiomyopathy associated with epileptic seizure: reversible left ventricular wall motion abnormality and ST-segment elevation.
MedLine Citation:
PMID:  17285449     Owner:  NLM     Status:  MEDLINE    
A 59-year-old woman was admitted for consciousness disturbance. She had a history of endocranial operation for astrocytoma. Her electrocardiogram showed ST-segment elevation indicative of acute myocardial infarction. Emergency coronary angiography showed normal coronary arteries, whereas left ventriculography showed extensive severe hypokinesis in the anteroseptal and apical segments. Electroencephalography showed slow sharp wave activity from the left frontal lobe to the temporal lobe, and she was diagnosed as having status epilepticus. This is a rare case of takotsubo cardiomyopathy associated with epileptic seizure. Acute myocardial ischemia caused by impaired coronary microcirculation induced by abnormal catecholamine release is a possible cause of cardiac wall motion abnormality, as in our case.
Satoru Sakuragi; Naoto Tokunaga; Keisuke Okawa; Mikio Kakishita; Tohru Ohe
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-01-26
Journal Detail:
Title:  Heart and vessels     Volume:  22     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-07     Completed Date:  2007-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  59-63     Citation Subset:  IM    
Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata, Okayama, 700-8558, Japan.
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MeSH Terms
Astrocytoma / epidemiology
Brain Neoplasms / epidemiology
Cardiomyopathies / epidemiology*,  physiopathology,  radionuclide imaging
Coronary Circulation
Heart Catheterization
Middle Aged
Myocardial Ischemia / epidemiology,  physiopathology
Status Epilepticus / epidemiology*
Temporal Lobe
Ventricular Dysfunction, Left / epidemiology

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