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Takotsubo syndrome in a patient after renal transplantation
BACKGROUND: Takotsubo syndrome (TTS) is a transient cardiomyopathy of unknown origin, clinically manifesting as acute coronary syndrome (ACS). This syndrome mainly occurs in postmenopausal women and has a temporary relationship with emotional or physical stress. CASE REPORT: TTS occurred in 46-year-...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560759/ https://www.ncbi.nlm.nih.gov/pubmed/22367133 http://dx.doi.org/10.12659/MSM.882510 |
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author | Chrapko, Beata E. Tomaszewski, Andrzej Jaroszyński, Andrzej J. Furmaga, Jacek Wysokiński, Andrzej Rudzki, Sławomir |
author_facet | Chrapko, Beata E. Tomaszewski, Andrzej Jaroszyński, Andrzej J. Furmaga, Jacek Wysokiński, Andrzej Rudzki, Sławomir |
author_sort | Chrapko, Beata E. |
collection | PubMed |
description | BACKGROUND: Takotsubo syndrome (TTS) is a transient cardiomyopathy of unknown origin, clinically manifesting as acute coronary syndrome (ACS). This syndrome mainly occurs in postmenopausal women and has a temporary relationship with emotional or physical stress. CASE REPORT: TTS occurred in 46-year-old female patient on the first day after renal transplantation. The predominant symptoms were connected with ACS, performed with low grade troponin elevation and characteristic shape of left ventricle depicted in echocardiography. Taking into consideration the risk of the development of contrast-induced nephropathy, coronary angiography (CA) was delayed; myocardial perfusion scintigraphy and iodine-123 metaiodobenzylguanidine ((123)I-mIBG) myocardial uptake were performed to confirm the clinical suspicion. Myocardial perfusion scintigraphy (MPS) performed in rest condition showed normal perfusion but myocardial uptake of (123)I-mIBG was impaired. Within 6 months after surgery, full recovery of all biochemical and functional parameters of the left ventricle were observed. At that time CA was done, depicting normal coronary arteries. CONCLUSIONS: TTS could be diagnosed by the use of non-nephrotoxic tests – (123)I-mIBG myocardial scintigraphy, MPS and echocardiography. |
format | Online Article Text |
id | pubmed-3560759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-35607592013-04-24 Takotsubo syndrome in a patient after renal transplantation Chrapko, Beata E. Tomaszewski, Andrzej Jaroszyński, Andrzej J. Furmaga, Jacek Wysokiński, Andrzej Rudzki, Sławomir Med Sci Monit Case Study BACKGROUND: Takotsubo syndrome (TTS) is a transient cardiomyopathy of unknown origin, clinically manifesting as acute coronary syndrome (ACS). This syndrome mainly occurs in postmenopausal women and has a temporary relationship with emotional or physical stress. CASE REPORT: TTS occurred in 46-year-old female patient on the first day after renal transplantation. The predominant symptoms were connected with ACS, performed with low grade troponin elevation and characteristic shape of left ventricle depicted in echocardiography. Taking into consideration the risk of the development of contrast-induced nephropathy, coronary angiography (CA) was delayed; myocardial perfusion scintigraphy and iodine-123 metaiodobenzylguanidine ((123)I-mIBG) myocardial uptake were performed to confirm the clinical suspicion. Myocardial perfusion scintigraphy (MPS) performed in rest condition showed normal perfusion but myocardial uptake of (123)I-mIBG was impaired. Within 6 months after surgery, full recovery of all biochemical and functional parameters of the left ventricle were observed. At that time CA was done, depicting normal coronary arteries. CONCLUSIONS: TTS could be diagnosed by the use of non-nephrotoxic tests – (123)I-mIBG myocardial scintigraphy, MPS and echocardiography. International Scientific Literature, Inc. 2012-03-01 /pmc/articles/PMC3560759/ /pubmed/22367133 http://dx.doi.org/10.12659/MSM.882510 Text en © Med Sci Monit, 2012 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. |
spellingShingle | Case Study Chrapko, Beata E. Tomaszewski, Andrzej Jaroszyński, Andrzej J. Furmaga, Jacek Wysokiński, Andrzej Rudzki, Sławomir Takotsubo syndrome in a patient after renal transplantation |
title | Takotsubo syndrome in a patient after renal transplantation |
title_full | Takotsubo syndrome in a patient after renal transplantation |
title_fullStr | Takotsubo syndrome in a patient after renal transplantation |
title_full_unstemmed | Takotsubo syndrome in a patient after renal transplantation |
title_short | Takotsubo syndrome in a patient after renal transplantation |
title_sort | takotsubo syndrome in a patient after renal transplantation |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560759/ https://www.ncbi.nlm.nih.gov/pubmed/22367133 http://dx.doi.org/10.12659/MSM.882510 |
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