Abstract：
BACKGROUND:Takotsubo cardiomyopathy (TCM) is a form of stress-induced cardiomyopathy featured by the dilatation of the apex of the left ventricle during systole. Whereas the pathogenesis of this disorder is not well understood, it usually occurs after an emotional or physical stress such as acute asthma, surgery, chemotherapy, and stroke. However, its occurrence in ileus patients is rarely reported. We hereby report probably the first case of TCM after ileus in the literature and discuss its implications. CASE PRESENTATION:An 85-year-old man was brought to the Emergency Department due to vomiting, abdominal pain, and no stool passages for 2 days. His abdomen was markedly distended, and ileus pattern was observed in the plain film of abdomen. Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram. A ventriculography showed an ejection fraction of 33% and confirmed the apical dilation consistent with TCM. He was treated with medication and discharged without remarkable adverse events. A follow-up transthoracic echocardiogram 4 months later showed normalization of his left ventricular systolic functions. CONCLUSION:The precise mechanisms of the development of TCM are still unknown, but it is widely believed that it is triggered by the catecholamine surge produced in response to stress. This case demonstrated that such a stress can be of various forms, including ileus and other conditions that may lead to severe abdominal pain, and highlight the importance of awareness in diagnosing this rare but potentially lethal condition.
journal_name
BMC Cardiovasc Disordjournal_title
BMC cardiovascular disordersauthors
Guo CC,Chou NSdoi
10.1186/s12872-017-0700-5subject
Has Abstractpub_date
2017-10-17 00:00:00pages
266issue
1issn
1471-2261pii
10.1186/s12872-017-0700-5journal_volume
17pub_type
杂志文章abstract：BACKGROUND:Exercise-based spectral T-wave alternans (TWA) has been proposed as a noninvasive tool-identifying patients at risk of sudden cardiac death (SCD) and cardiac mortality. Prior studies have indicated that ambulatory electrocardiogram (AECG)-based TWA is an important alternative platform to exercise for risk st...
journal_title：BMC cardiovascular disorders
pub_type： 杂志文章,meta分析,评审
doi：10.1186/1471-2261-14-198
更新日期：2014-12-20 00:00:00
abstract：BACKGROUND:Reported effects of obesity on the extent of angiographic coronary artery disease(CAD) have been inconsistent. The present study aimed to investigate the relationships between the indices of obesity and other anthropometric markers with the extent of CAD. METHODS:This study was conducted on 1008 consecutive...
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journal_title：BMC cardiovascular disorders
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pub_type： 杂志文章
doi：10.1186/s12872-015-0032-2
更新日期：2015-05-12 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2017-10-18 00:00:00
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journal_title：BMC cardiovascular disorders
pub_type： 杂志文章,评审
doi：10.1186/1471-2261-12-46
更新日期：2012-06-24 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1186/s12872-017-0725-9
更新日期：2017-12-28 00:00:00
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journal_title：BMC cardiovascular disorders
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2261-11-37
更新日期：2011-06-27 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2261-15-8
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journal_title：BMC cardiovascular disorders
pub_type： 杂志文章,多中心研究
doi：10.1186/s12872-018-0899-9
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pub_type： 杂志文章,meta分析,评审
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更新日期：2015-11-17 00:00:00
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pub_type： 杂志文章
doi：10.1186/1471-2261-14-161
更新日期：2014-11-18 00:00:00
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journal_title：BMC cardiovascular disorders
pub_type： 杂志文章
doi：10.1186/s12872-016-0400-6
更新日期：2016-11-17 00:00:00
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journal_title：BMC cardiovascular disorders
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2261-9-29
更新日期：2009-07-08 00:00:00
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pub_type： 杂志文章
doi：10.1186/s12872-018-0908-z
更新日期：2018-08-22 00:00:00
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journal_title：BMC cardiovascular disorders
pub_type： 杂志文章
doi：10.1186/s12872-017-0503-8
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pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2261-13-92
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更新日期：2020-02-06 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2261-12-75
更新日期：2012-09-17 00:00:00
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pub_type： 杂志文章,meta分析,评审
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更新日期：2017-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2008-12-04 00:00:00
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pub_type： 杂志文章
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更新日期：2019-11-29 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2020-06-22 00:00:00
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pub_type： 杂志文章
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更新日期：2019-12-21 00:00:00
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pub_type： 杂志文章
doi：10.1186/s12872-018-0805-5
更新日期：2018-04-10 00:00:00
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doi：10.1186/1471-2261-14-44
更新日期：2014-04-04 00:00:00
