From PCIpedia
(Difference between pages)
Jump to navigation
Jump to search
|
|
| Line 1: |
Line 1: |
| {{Case
| |
| |Title = Takotsubo
| |
| |CasePresentation = Mimicking myocardial infarction by a stress cardiomyopathy
| |
|
| |
|
| An 81-year-old woman with no cardiac history presented with acute chestpain which radiated to the left arm. The blood pressure was 140/80 mmHg and a heart rate of110/min. Physical examination revealed no abnormalities. The electrocardiogram was compatible with acute anterior myocardial infarction. (A) Immediate coronary angiography showed normal coronary arteries (B and C). A left ventricular (LV) angiogram revealed a Tako-tsubo-like cardiomyopathy, recognized by a hypercontractile base and a bulging out of the LV-apex at systole (D), which normalizes at diastole (E). This typical LV-angiogram resembles a local octopus trap in Japan , where this cardiomyopathy was first described. Although clinical presentation can be quite severe, prognosis is usually good with complete LV recovery. It occurs commonly in post-menopausal woman, usually provoked after extreme emotional stress. In a second interview, the patient told she had a severe emotional experience at a parking lot that morning, after which she developed chestpain.
| |
|
| |
| |Courtesy = Courtesy of M. Meuwissen, MD, PhD, AMC, The Netherlands
| |
|
| |
| |filepointer1=[[Image:MM0100.jpg|300px]]
| |
| |file_name1=
| |
| |descriptionfile1=Figure A: Electrocardiogram
| |
|
| |
| |filepointer2=<flash>file=MM0099.swf|quality=best|align=center|width=300|height=300</flash>
| |
| |file_name2=MM0099
| |
| |descriptionfile2=Movie B: Angiography RCA
| |
|
| |
| |filepointer3=<flash>file=MM0097.swf|quality=best|align=center|width=300|height=300</flash>
| |
| |file_name3=MM0097
| |
| |descriptionfile3=Movie C: Angiography LCA
| |
|
| |
| |filepointer4=<flash>file=MM0098.swf|quality=best|align=center|width=300|height=300</flash>
| |
| |file_name4=MM0098
| |
| |descriptionfile4=Movie D: Left ventricular angiography
| |
|
| |
|
| |
| |filepointer5=[[Image:MM0105.jpg|300px]]
| |
| |file_name5=
| |
| |descriptionfile5=Image E: Still frames of left ventricular angiography at end systole and end diastole
| |
|
| |
| }}
| |
Revision as of 15:46, 25 August 2009
