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A Case Report of Takotsubo Cardiomyopathy With Dengue

A 74-year-old woman with well-controlled hypertension and dyslipidemia with acute fever was diagnosed with dengue infection. She had non-anginal central chest pain which was associated with ST elevation and T inversions in V1 to V6 with prolonged QT interval. Her high-sensitivity troponin was elevat...

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Detalles Bibliográficos
Autores principales: Munasinghe, K. V. P., Silva, F. H. D. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469349/
https://www.ncbi.nlm.nih.gov/pubmed/37663978
http://dx.doi.org/10.7759/cureus.42774
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author Munasinghe, K. V. P.
Silva, F. H. D. S.
author_facet Munasinghe, K. V. P.
Silva, F. H. D. S.
author_sort Munasinghe, K. V. P.
collection PubMed
description A 74-year-old woman with well-controlled hypertension and dyslipidemia with acute fever was diagnosed with dengue infection. She had non-anginal central chest pain which was associated with ST elevation and T inversions in V1 to V6 with prolonged QT interval. Her high-sensitivity troponin was elevated. There was echocardiographic evidence of severe left ventricular dysfunction (ejection fraction 35%; Simpson method) with apical ballooning suggestive of takotsubo cardiomyopathy. No left ventricular basal hyperkinesia was noted. The patient was managed as per the national dengue guidelines of Sri Lanka. Her cardiac condition was managed conservatively. She did not experience dengue complications such as dengue shock syndrome or dengue hemorrhagic fever or pulmonary edema secondary to severe LV dysfunction. The clinical symptoms and echocardiographic findings of takotsubo cardiomyopathy resolved parallel to dengue fever.
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spelling pubmed-104693492023-09-01 A Case Report of Takotsubo Cardiomyopathy With Dengue Munasinghe, K. V. P. Silva, F. H. D. S. Cureus Cardiology A 74-year-old woman with well-controlled hypertension and dyslipidemia with acute fever was diagnosed with dengue infection. She had non-anginal central chest pain which was associated with ST elevation and T inversions in V1 to V6 with prolonged QT interval. Her high-sensitivity troponin was elevated. There was echocardiographic evidence of severe left ventricular dysfunction (ejection fraction 35%; Simpson method) with apical ballooning suggestive of takotsubo cardiomyopathy. No left ventricular basal hyperkinesia was noted. The patient was managed as per the national dengue guidelines of Sri Lanka. Her cardiac condition was managed conservatively. She did not experience dengue complications such as dengue shock syndrome or dengue hemorrhagic fever or pulmonary edema secondary to severe LV dysfunction. The clinical symptoms and echocardiographic findings of takotsubo cardiomyopathy resolved parallel to dengue fever. Cureus 2023-07-31 /pmc/articles/PMC10469349/ /pubmed/37663978 http://dx.doi.org/10.7759/cureus.42774 Text en Copyright © 2023, Munasinghe 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
Munasinghe, K. V. P.
Silva, F. H. D. S.
A Case Report of Takotsubo Cardiomyopathy With Dengue
title A Case Report of Takotsubo Cardiomyopathy With Dengue
title_full A Case Report of Takotsubo Cardiomyopathy With Dengue
title_fullStr A Case Report of Takotsubo Cardiomyopathy With Dengue
title_full_unstemmed A Case Report of Takotsubo Cardiomyopathy With Dengue
title_short A Case Report of Takotsubo Cardiomyopathy With Dengue
title_sort case report of takotsubo cardiomyopathy with dengue
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469349/
https://www.ncbi.nlm.nih.gov/pubmed/37663978
http://dx.doi.org/10.7759/cureus.42774
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