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Takotsubo cardiomyopathy in two female patients: two case reports

BACKGROUND: Tako-tsubo cardiomyopathy (idiopathic apical ballooning syndrome or ampulla cardiomyopathy) has recently been described. First recognised in Japanese patients, tako-tsubo refers to the end-systolic appearance of the left ventricle on ventriculography and its resemblance to the round bott...

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Autores principales: Turley, AJ, Graham, RJ, Hall, JA
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2602994/
https://www.ncbi.nlm.nih.gov/pubmed/19017410
http://dx.doi.org/10.1186/1757-1626-1-325
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author Turley, AJ
Graham, RJ
Hall, JA
author_facet Turley, AJ
Graham, RJ
Hall, JA
author_sort Turley, AJ
collection PubMed
description BACKGROUND: Tako-tsubo cardiomyopathy (idiopathic apical ballooning syndrome or ampulla cardiomyopathy) has recently been described. First recognised in Japanese patients, tako-tsubo refers to the end-systolic appearance of the left ventricle on ventriculography and its resemblance to the round bottomed, narrow necked Japanese fishing pots used to trap octopus CASE PRESENTATION: We present two cases of female caucasian patients aged 40 and 63 years respectively admitted following severe stressful events who met the diagnostic criteria of tako-tsubo cardiomyopathy, namely acute chest pain, transient akinesis or dyskinesia of the left ventricle, new dynamic electrocardiogram changes and no significant epicardial coronary artery disease in the absence of recent head trauma, intracranial bleeding, phaeochromocytoma, myocarditis and hypertrophic cardiomyopathy. Both had elevated cardiac biomarkers. Characteristically the condition is transient and the abnormal akinesia/dyskinesia of the left ventricle has been observed to normalise within 1-month as in our patients who made full recoveries. CONCLUSION: Patients with tako-tsubo cardiomyopathy present with features consistent with an acute coronary syndrome and as such the syndrome is probably under-diagnosed. It may be with the introduction of primary percutaneous coronary intervention more cases are identified, sparing patients the risks of unnecessary thrombolytic therapy. Tako-tsubo cardiomyopathy should be considered in all patients presenting with acute onset chest pain and elevated cardiac biomarkers.
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spelling pubmed-26029942008-12-16 Takotsubo cardiomyopathy in two female patients: two case reports Turley, AJ Graham, RJ Hall, JA Cases J Case Report BACKGROUND: Tako-tsubo cardiomyopathy (idiopathic apical ballooning syndrome or ampulla cardiomyopathy) has recently been described. First recognised in Japanese patients, tako-tsubo refers to the end-systolic appearance of the left ventricle on ventriculography and its resemblance to the round bottomed, narrow necked Japanese fishing pots used to trap octopus CASE PRESENTATION: We present two cases of female caucasian patients aged 40 and 63 years respectively admitted following severe stressful events who met the diagnostic criteria of tako-tsubo cardiomyopathy, namely acute chest pain, transient akinesis or dyskinesia of the left ventricle, new dynamic electrocardiogram changes and no significant epicardial coronary artery disease in the absence of recent head trauma, intracranial bleeding, phaeochromocytoma, myocarditis and hypertrophic cardiomyopathy. Both had elevated cardiac biomarkers. Characteristically the condition is transient and the abnormal akinesia/dyskinesia of the left ventricle has been observed to normalise within 1-month as in our patients who made full recoveries. CONCLUSION: Patients with tako-tsubo cardiomyopathy present with features consistent with an acute coronary syndrome and as such the syndrome is probably under-diagnosed. It may be with the introduction of primary percutaneous coronary intervention more cases are identified, sparing patients the risks of unnecessary thrombolytic therapy. Tako-tsubo cardiomyopathy should be considered in all patients presenting with acute onset chest pain and elevated cardiac biomarkers. BioMed Central 2008-11-18 /pmc/articles/PMC2602994/ /pubmed/19017410 http://dx.doi.org/10.1186/1757-1626-1-325 Text en Copyright © 2008 Turley et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Turley, AJ
Graham, RJ
Hall, JA
Takotsubo cardiomyopathy in two female patients: two case reports
title Takotsubo cardiomyopathy in two female patients: two case reports
title_full Takotsubo cardiomyopathy in two female patients: two case reports
title_fullStr Takotsubo cardiomyopathy in two female patients: two case reports
title_full_unstemmed Takotsubo cardiomyopathy in two female patients: two case reports
title_short Takotsubo cardiomyopathy in two female patients: two case reports
title_sort takotsubo cardiomyopathy in two female patients: two case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2602994/
https://www.ncbi.nlm.nih.gov/pubmed/19017410
http://dx.doi.org/10.1186/1757-1626-1-325
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