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Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction

Introduction: Takotsubo cardiomyopathy (TCM) is a reversible form of cardiomyopathy characterized by transient regional systolic dysfunction of the left ventricle. Case outline: A 78-year-old woman was admitted to the general hospital due to acute inferior STEMI late presentation. Two days after adm...

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Autores principales: Srdanović, Ilija, Dabović, Dragana, Ivanović, Vladimir, Čanković, Milenko, Pantić, Teodora, Stefanović, Maja, Dimić, Sonja, Crnomarković, Branislav, Bjelobrk, Marija, Govedarica, Miljana, Zdravković, Marija
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455998/
https://www.ncbi.nlm.nih.gov/pubmed/37629626
http://dx.doi.org/10.3390/life13081770
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author Srdanović, Ilija
Dabović, Dragana
Ivanović, Vladimir
Čanković, Milenko
Pantić, Teodora
Stefanović, Maja
Dimić, Sonja
Crnomarković, Branislav
Bjelobrk, Marija
Govedarica, Miljana
Zdravković, Marija
author_facet Srdanović, Ilija
Dabović, Dragana
Ivanović, Vladimir
Čanković, Milenko
Pantić, Teodora
Stefanović, Maja
Dimić, Sonja
Crnomarković, Branislav
Bjelobrk, Marija
Govedarica, Miljana
Zdravković, Marija
author_sort Srdanović, Ilija
collection PubMed
description Introduction: Takotsubo cardiomyopathy (TCM) is a reversible form of cardiomyopathy characterized by transient regional systolic dysfunction of the left ventricle. Case outline: A 78-year-old woman was admitted to the general hospital due to acute inferior STEMI late presentation. Two days after admission, the patient reported intense chest pain and an ECG registered diffuse ST-segment elevation in all leads with ST-segment denivelation in aVR. The patient also showed clinical signs of cardiogenic shock and was referred to a reference institution for further evaluation. Echocardiography revealed akinesia of all medioapical segments, dynamic obstruction of the left ventricular outflow tract (LVOT), moderate mitral regurgitation, and pericardial effusion. Coronary angiography showed the suboccluded right coronary artery, and a primary percutaneous coronary intervention was performed, which involved implanting a drug-eluting stent. The patient’s condition worsened as pericardial effusion increased and led to tamponade. Pericardiocentesis was performed, resulting in the patient’s stabilization. At this point, significant gradients at the LVOT and pericardial effusion were not registered. After eight days without symptoms and stable status, the patient was discharged. Conclusions: The simultaneous presence of AMI and TCM increases the risk of developing cardiogenic shock. The cardio-circulatory profile of these patients is different from those with AMI.
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spelling pubmed-104559982023-08-26 Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction Srdanović, Ilija Dabović, Dragana Ivanović, Vladimir Čanković, Milenko Pantić, Teodora Stefanović, Maja Dimić, Sonja Crnomarković, Branislav Bjelobrk, Marija Govedarica, Miljana Zdravković, Marija Life (Basel) Case Report Introduction: Takotsubo cardiomyopathy (TCM) is a reversible form of cardiomyopathy characterized by transient regional systolic dysfunction of the left ventricle. Case outline: A 78-year-old woman was admitted to the general hospital due to acute inferior STEMI late presentation. Two days after admission, the patient reported intense chest pain and an ECG registered diffuse ST-segment elevation in all leads with ST-segment denivelation in aVR. The patient also showed clinical signs of cardiogenic shock and was referred to a reference institution for further evaluation. Echocardiography revealed akinesia of all medioapical segments, dynamic obstruction of the left ventricular outflow tract (LVOT), moderate mitral regurgitation, and pericardial effusion. Coronary angiography showed the suboccluded right coronary artery, and a primary percutaneous coronary intervention was performed, which involved implanting a drug-eluting stent. The patient’s condition worsened as pericardial effusion increased and led to tamponade. Pericardiocentesis was performed, resulting in the patient’s stabilization. At this point, significant gradients at the LVOT and pericardial effusion were not registered. After eight days without symptoms and stable status, the patient was discharged. Conclusions: The simultaneous presence of AMI and TCM increases the risk of developing cardiogenic shock. The cardio-circulatory profile of these patients is different from those with AMI. MDPI 2023-08-18 /pmc/articles/PMC10455998/ /pubmed/37629626 http://dx.doi.org/10.3390/life13081770 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Srdanović, Ilija
Dabović, Dragana
Ivanović, Vladimir
Čanković, Milenko
Pantić, Teodora
Stefanović, Maja
Dimić, Sonja
Crnomarković, Branislav
Bjelobrk, Marija
Govedarica, Miljana
Zdravković, Marija
Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction
title Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction
title_full Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction
title_fullStr Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction
title_full_unstemmed Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction
title_short Takotsubo Cardiomyopathy Occurring Simultaneously with Acute Myocardial Infarction
title_sort takotsubo cardiomyopathy occurring simultaneously with acute myocardial infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455998/
https://www.ncbi.nlm.nih.gov/pubmed/37629626
http://dx.doi.org/10.3390/life13081770
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