Abstract:
:A 70-year-old woman was admitted to the hospital with chest discomfort after quarreling with her neighbors. Electrocardiography revealed ST-segment elevation in leads I, II, III, aVL, aVF, and V2 through V6. Coronary angiography demonstrated normal arteries, but left ventriculography showed apical akinesis and basal hyperkinesis. Takotsubo cardiomyopathy was diagnosed on the basis of these characteristic findings. The creatine kinase and creatine kinase-MB concentrations were elevated at admission and reached maximum levels 6 hours after admission. The plasma level of brain natriuretic peptide was 10.7 pg/mL (reference range, <18.4 pg/mL) on the first hospital day. ST-segment elevation in leads I, II, III, aVL, aVF, and V2 through V6 persisted at 72 hours after admission. On the third hospital day, sudden rupture of the left ventricle occurred, and despite extensive resuscitation efforts, the patient died. Takotsubo cardiomyopathy presents in a manner similar to that of acute myocardial infarction, but ventricular systolic function usually returns to normal within a few weeks. To our knowledge, this is the first reported case of fatal left ventricular rupture associated with takotsubo cardiomyopathy. We suggest that takotsubo cardiomyopathy may be a newly recognized cause of sudden cardiac death.
journal_name
Mayo Clin Procjournal_title
Mayo Clinic proceedingsauthors
Akashi YJ,Tejima T,Sakurada H,Matsuda H,Suzuki K,Kawasaki K,Tsuchiya K,Hashimoto N,Musha H,Sakakibara M,Nakazawa K,Miyake Fdoi
10.4065/79.6.821keywords:
subject
Has Abstractpub_date
2004-06-01 00:00:00pages
821-4issue
6eissn
0025-6196issn
1942-5546pii
S0025-6196(11)62638-4journal_volume
79pub_type
杂志文章abstract:OBJECTIVE:To assess the potential electromagnetic interference (EMI) effects that new or current-generation cellular telephones have on medical devices. MATERIAL AND METHODS:For this study, performed at the Mayo Clinic in Rochester, Minn, between March 9, 2004, and April 24, 2004, we tested 16 different medical device...
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更新日期:1994-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:1984-09-01 00:00:00
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journal_title:Mayo Clinic proceedings
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更新日期:1980-01-01 00:00:00
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更新日期:1992-04-01 00:00:00
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更新日期:2012-02-01 00:00:00
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更新日期:1998-10-01 00:00:00