Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram

A 79-year-old man presented with impaired consciousness, fever with a body temperature of 41.1°C, and an electrocardiogram showing significant ST segment elevation in leads V1-6, coved-type ST elevation in leads V1-3, and partial right bundle branch block. Echocardiography revealed notable left vent...

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Autores principales: Sasaki, Osamu, Nishioka, Toshihiko, Sasaki, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460538/
https://www.ncbi.nlm.nih.gov/pubmed/37641762
http://dx.doi.org/10.7759/cureus.42605
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author Sasaki, Osamu
Nishioka, Toshihiko
Sasaki, Hideki
author_facet Sasaki, Osamu
Nishioka, Toshihiko
Sasaki, Hideki
author_sort Sasaki, Osamu
collection PubMed
description A 79-year-old man presented with impaired consciousness, fever with a body temperature of 41.1°C, and an electrocardiogram showing significant ST segment elevation in leads V1-6, coved-type ST elevation in leads V1-3, and partial right bundle branch block. Echocardiography revealed notable left ventricle dysfunction with apex-based akinesis. Coronary angiography confirmed severe obstructive lesions but left ventriculography displayed the distinct apical ballooning of takotsubo cardiomyopathy (TC). This case highlights the presence of atypical electrocardiographic patterns in TC influenced by comorbidities, supporting the diagnosis of TC despite concurrent obstructive coronary artery disease.
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spelling pubmed-104605382023-08-28 Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram Sasaki, Osamu Nishioka, Toshihiko Sasaki, Hideki Cureus Cardiology A 79-year-old man presented with impaired consciousness, fever with a body temperature of 41.1°C, and an electrocardiogram showing significant ST segment elevation in leads V1-6, coved-type ST elevation in leads V1-3, and partial right bundle branch block. Echocardiography revealed notable left ventricle dysfunction with apex-based akinesis. Coronary angiography confirmed severe obstructive lesions but left ventriculography displayed the distinct apical ballooning of takotsubo cardiomyopathy (TC). This case highlights the presence of atypical electrocardiographic patterns in TC influenced by comorbidities, supporting the diagnosis of TC despite concurrent obstructive coronary artery disease. Cureus 2023-07-28 /pmc/articles/PMC10460538/ /pubmed/37641762 http://dx.doi.org/10.7759/cureus.42605 Text en Copyright © 2023, Sasaki et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Sasaki, Osamu
Nishioka, Toshihiko
Sasaki, Hideki
Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram
title Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram
title_full Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram
title_fullStr Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram
title_full_unstemmed Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram
title_short Heat Stroke-Induced Takotsubo Cardiomyopathy With a Concomitant Transient Brugada-Like Electrocardiogram
title_sort heat stroke-induced takotsubo cardiomyopathy with a concomitant transient brugada-like electrocardiogram
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460538/
https://www.ncbi.nlm.nih.gov/pubmed/37641762
http://dx.doi.org/10.7759/cureus.42605
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AT sasakihideki heatstrokeinducedtakotsubocardiomyopathywithaconcomitanttransientbrugadalikeelectrocardiogram

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