Stress cardiomyopathy - Takotsubo: Difference between revisions
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|filepointer5=[[Image:MM0101.jpg|300px]] | |filepointer5=[[Image:MM0101.jpg|300px]] | ||
|file_name5=MM0101 | |file_name5=MM0101 | ||
|descriptionfile5=Electrocardiogram (B) | |descriptionfile5=Electrocardiogram (B) and (C) | ||
|filepointer6=[[Image: | |filepointer6=[[Image:MM0103.jpg|300px]] | ||
|file_name6= | |file_name6=MM0103 | ||
|descriptionfile6= | |descriptionfile6=Coronary Arteries (B) and (C) | ||
|filepointer7=[[Image: | |filepointer7=[[Image:MM0104.jpg|300px]] | ||
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|descriptionfile7=Coronary Arteries ( | |descriptionfile7=Coronary Arteries (D) | ||
|filepointer8=[[Image: | |filepointer8=[[Image:MM0105.jpg|300px]] | ||
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|descriptionfile8 | |descriptionfile8=Left Ventricular Angiogram (D) and (E) | ||
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Revision as of 16:29, 25 August 2009
| Case description: 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 of: Courtesy of M. Meuwissen, MD, PhD, AMC, The Netherlands | |
| <flash>file=MM0097.swf | <flash>file=MM0098.swf |
| Takotsubo_LCA | Takotsubo_LVangio |
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| Takotsubo_RCA | Electrocardiogram (A) |
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| Electrocardiogram (B) and (C) | Coronary Arteries (B) and (C) |
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| Coronary Arteries (D) | Left Ventricular Angiogram (D) and (E) |
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