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Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy
Tako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiograph...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350873/ https://www.ncbi.nlm.nih.gov/pubmed/25788945 http://dx.doi.org/10.1155/2015/292658 |
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author | Fibbi, Veronica Ballo, Piercarlo Nannini, Marco Consoli, Lorenzo Chechi, Tania Bribani, Andrea Fiorentino, Francesca Chiodi, Leandro Zuppiroli, Alfredo |
author_facet | Fibbi, Veronica Ballo, Piercarlo Nannini, Marco Consoli, Lorenzo Chechi, Tania Bribani, Andrea Fiorentino, Francesca Chiodi, Leandro Zuppiroli, Alfredo |
author_sort | Fibbi, Veronica |
collection | PubMed |
description | Tako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiographic evidence of akinesia of the left ventricular mid-apical segments. Atypical echocardiographic patterns of TTC have recently been described, often triggered by emotional stressors, rather than physical. In this report, we describe a case of atypical TTC triggered by an unusual stressor (recurrent nightmare) in a 45-year-old woman, with peculiar clinical presentation and evolution characterized by persistent loss of consciousness, neurological deterioration, absence of typical symptoms of TTC, and features suggestive of a hysterical crisis. |
format | Online Article Text |
id | pubmed-4350873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-43508732015-03-18 Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy Fibbi, Veronica Ballo, Piercarlo Nannini, Marco Consoli, Lorenzo Chechi, Tania Bribani, Andrea Fiorentino, Francesca Chiodi, Leandro Zuppiroli, Alfredo Case Rep Med Case Report Tako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiographic evidence of akinesia of the left ventricular mid-apical segments. Atypical echocardiographic patterns of TTC have recently been described, often triggered by emotional stressors, rather than physical. In this report, we describe a case of atypical TTC triggered by an unusual stressor (recurrent nightmare) in a 45-year-old woman, with peculiar clinical presentation and evolution characterized by persistent loss of consciousness, neurological deterioration, absence of typical symptoms of TTC, and features suggestive of a hysterical crisis. Hindawi Publishing Corporation 2015 2015-02-19 /pmc/articles/PMC4350873/ /pubmed/25788945 http://dx.doi.org/10.1155/2015/292658 Text en Copyright © 2015 Veronica Fibbi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Fibbi, Veronica Ballo, Piercarlo Nannini, Marco Consoli, Lorenzo Chechi, Tania Bribani, Andrea Fiorentino, Francesca Chiodi, Leandro Zuppiroli, Alfredo Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
title | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
title_full | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
title_fullStr | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
title_full_unstemmed | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
title_short | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
title_sort | nightmare-induced atypical midventricular tako-tsubo cardiomyopathy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350873/ https://www.ncbi.nlm.nih.gov/pubmed/25788945 http://dx.doi.org/10.1155/2015/292658 |
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