Dobutamine stress echocardiography-induced broken heart syndrome (Takotsubo Syndrome).
نویسندگان
چکیده
We report a case of dobutamine stress echocardiography-induced Takotsubo syndrome in a 76-year-old hypertensive patient with clinical complaints of chest pain in an elective visit to the cardiologist. Dobutamine-stress-echocardiography was requested to rule out chest pain of coronary origin. During the test, at peak exercise, echocardiogram showed apical akinesia and electrocardiogram showed ST-segment elevation in D1, AVL, and V2. The patient was hospitalized and underwent coronary angiography, which showed normal coronary arteries and left ventricular apical ballooning. During follow-up, the patient's condition remained stable, with regression of the manifestations 21 days after the initial presentation.
منابع مشابه
Dobutamine stress echo-induced apical ballooning (Takotsubo) syndrome.
AIMS We report a case of dobutamine stress echocardiography (DSE) resulting in transient apical ballooning syndrome to highlight this rare condition as a potential complication of DSE. BACKGROUND Takotsubo cardiomyopathy, or transient apical ballooning syndrome, is a recently described form of left ventricular (LV) dysfunction induced by stress. Clinically it can mimic acute coronary syndrome...
متن کاملTakotsubo cardiomyopathy (left ventricular ballooning syndrome) induced during dobutamine stress echocardiography.
A 75-year-old woman presented with left ventricular apical ballooning syndrome mimicking acute anterior myocardial infarction. She had a long history of chest tightness and was undergoing a contrast stress echocardiogram because of frequent re-admissions with chest pain, all with normal ECGs and troponins. A standard dobutamine/atropine protocol had been used. The patient developed central crus...
متن کاملInverted Takotsubo Cardiomyopathy Induced by Dobutamine Stress Echocardiography with Atypical Presentation
A 48-year-old woman was scheduled by our lab to perform a standard dobutamine/atropine stress echocardiogram. During the test, the patient referred to a slight chest discomfort and developed a progressive left ventricle akinesia of all midbasal LV segments, thus mimicking a midbasal ballooning. ECG persisted without significant abnormalities and with no raise of Troponin I. Coronary angiography...
متن کاملTakotsubo cardiomyopathy following subarachnoid hemorrhage* Síndrome de takotsubo após hemorragia subaracnoidea
Takotsubo cardiomyopathy corresponds to a syndrome characterized by a transient myocardial dysfunction affecting the left ventricular apex that classically occurs after major physical or emotional stress (also called “broken heart syndrome” or “stress-induced cardiomyopathy”). The author describes the case of a patient with takotsubo cardiomyopathy induced by subarachnoid hemorrhage.
متن کاملLeft ventricular end diastolic pressure, suspected underlying hypertrophic cardiomyopathy, and takotsubo syndrome.
cardiomyopathy. Circ J 2014; 78: 2119–2128. 2. Redfors B, Shao Y, Omerovic E. Stress-induced cardiomyopathy (Takotsubo): Broken heart and mind? Vasc Health Risk Manag 2013; 9: 149–154. 3. Chong CR, Neil CJ, Nguyen TH, Stansborough J, Law GW, Singh K, et al. Dissociation between severity of takotsubo cardiomyopathy and presentation with shock or hypotension. Clin Cardiol 2013; 36: 401–406. 4. Re...
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ورودعنوان ژورنال:
- Arquivos brasileiros de cardiologia
دوره 93 1 شماره
صفحات -
تاریخ انتشار 2009