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Journal of Medical Case Reports

, 2:74

First Online: 07 March 2008Received: 17 July 2007Accepted: 07 March 2008DOI: 10.1186-1752-1947-2-74

Cite this article as: Karavidas, A., Arapi, S., Fotiadis, J. et al. J Med Case Reports 2008 2: 74. doi:10.1186-1752-1947-2-74

Abstract

IntroductionStress cardiomyopathy, also known as Takotsubo cardiomyopathy or left ventricular apical ballooning, has been linked to emotional or physical stress resulting in transient left ventricular dysfunction. It typically affects the mid and apical left ventricular segments. At onset, it resembles acute myocardial infarction, due to the acute onset of chest pain and ST-T segment elevation. However, there is minimal biomarker elevation and a normal coronary artery angiogram.

Case presentationWe report a case of a woman with transient myocardial injury after a stressful event, presenting with a variation of the affected segments. In this case, only the basal and mid portions of the left ventricle were affected, while the apex was completely spared. Coronary angiography revealed no significant occlusion and left ventricular function had recovered completely by the third day of hospitalization.

ConclusionWe present a variant form of stress cardiomyopathy, affecting the basal and mid segments of the left ventricle.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-2-74 contains supplementary material, which is available to authorized users.

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Autor: Apostolos Karavidas - Sofia Arapi - John Fotiadis - Achilleas Zacharoulis - Evagellos Matsakas

Fuente: https://link.springer.com/







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