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Takotsubo cardiomyopathy in a centenarian woman

A 101 years-old woman was admitted to our Emergency Department (ED) for acute dyspnea which onset nearly two hours before presentation. She had been on hydrochlorothyazyde-amiloride therapy due to mild hypertension. No other relevant features were present in the clinical history. The old lady had ne...

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Autores principales: Bonfanti, Laura, Buratti, Silvia, Vignali, Luigi, Lippi, Giuseppe, Masini, Franco, Bianconcini, Michele, Cervellin, Gianfranco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166173/
https://www.ncbi.nlm.nih.gov/pubmed/29350674
http://dx.doi.org/10.23750/abm.v88i4.6653
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author Bonfanti, Laura
Buratti, Silvia
Vignali, Luigi
Lippi, Giuseppe
Masini, Franco
Bianconcini, Michele
Cervellin, Gianfranco
author_facet Bonfanti, Laura
Buratti, Silvia
Vignali, Luigi
Lippi, Giuseppe
Masini, Franco
Bianconcini, Michele
Cervellin, Gianfranco
author_sort Bonfanti, Laura
collection PubMed
description A 101 years-old woman was admitted to our Emergency Department (ED) for acute dyspnea which onset nearly two hours before presentation. She had been on hydrochlorothyazyde-amiloride therapy due to mild hypertension. No other relevant features were present in the clinical history. The old lady had never been admitted to the hospital, and she was still living alone. A few days before hospital admission, one of the daughters became ill, so that a caregiver was paid for assisting her 12/24. This new circumstance was reluctantly accepted by the old lady. At ED presentation the patient was dyspnoic but alert. The electrocardiogram showed a marked elevation of the ST segment in V2-V6 leads. The echocardiogram showed the typical apical ballooning, characteristic of takotsubo cardiomyopathy. Blood test only showed a significant increase of cardiac troponin I. Considering the very good conditions of the patient, a coronary angiography was performed, that demonstrated a coronary tree totally free of lesions, thus confirming the clinical suspicion of takotsubo syndrome. The patient was admitted to the Coronary Care Unit, where she had a very good clinical course, and was discharged on day 6(th) after presentation. After one month of follow-up the clinical course was uneventful and the lady remained in good clinical and lifestyle conditions as before presenting to the ED. This unique case attests that takotsubo cardiomyopathy can be also observed at extreme ages, and should hence be considered in the differential diagnosis of acute dyspnea and chest pain in oldest old patients. (www.actabiomedica.it)
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spelling pubmed-61661732019-05-08 Takotsubo cardiomyopathy in a centenarian woman Bonfanti, Laura Buratti, Silvia Vignali, Luigi Lippi, Giuseppe Masini, Franco Bianconcini, Michele Cervellin, Gianfranco Acta Biomed Case Report A 101 years-old woman was admitted to our Emergency Department (ED) for acute dyspnea which onset nearly two hours before presentation. She had been on hydrochlorothyazyde-amiloride therapy due to mild hypertension. No other relevant features were present in the clinical history. The old lady had never been admitted to the hospital, and she was still living alone. A few days before hospital admission, one of the daughters became ill, so that a caregiver was paid for assisting her 12/24. This new circumstance was reluctantly accepted by the old lady. At ED presentation the patient was dyspnoic but alert. The electrocardiogram showed a marked elevation of the ST segment in V2-V6 leads. The echocardiogram showed the typical apical ballooning, characteristic of takotsubo cardiomyopathy. Blood test only showed a significant increase of cardiac troponin I. Considering the very good conditions of the patient, a coronary angiography was performed, that demonstrated a coronary tree totally free of lesions, thus confirming the clinical suspicion of takotsubo syndrome. The patient was admitted to the Coronary Care Unit, where she had a very good clinical course, and was discharged on day 6(th) after presentation. After one month of follow-up the clinical course was uneventful and the lady remained in good clinical and lifestyle conditions as before presenting to the ED. This unique case attests that takotsubo cardiomyopathy can be also observed at extreme ages, and should hence be considered in the differential diagnosis of acute dyspnea and chest pain in oldest old patients. (www.actabiomedica.it) Mattioli 1885 2017 /pmc/articles/PMC6166173/ /pubmed/29350674 http://dx.doi.org/10.23750/abm.v88i4.6653 Text en Copyright: © 2017 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Case Report
Bonfanti, Laura
Buratti, Silvia
Vignali, Luigi
Lippi, Giuseppe
Masini, Franco
Bianconcini, Michele
Cervellin, Gianfranco
Takotsubo cardiomyopathy in a centenarian woman
title Takotsubo cardiomyopathy in a centenarian woman
title_full Takotsubo cardiomyopathy in a centenarian woman
title_fullStr Takotsubo cardiomyopathy in a centenarian woman
title_full_unstemmed Takotsubo cardiomyopathy in a centenarian woman
title_short Takotsubo cardiomyopathy in a centenarian woman
title_sort takotsubo cardiomyopathy in a centenarian woman
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166173/
https://www.ncbi.nlm.nih.gov/pubmed/29350674
http://dx.doi.org/10.23750/abm.v88i4.6653
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