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A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm

BACKGROUND: Takotsubo syndrome (TS) is a reversible left ventricular (LV) systolic dysfunction occurred mostly in post-menopausal women after an emotional or physical stress. The exact mechanism has yet to be found. In clinical settings, TS should be differentiated from myocardial infarction (MI) du...

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Autores principales: Zavar, Reihaneh, Vakhshoori, Mehrbod, Mirmohammadsadeghi, Mohsen, Hashemi-Jazi, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597797/
https://www.ncbi.nlm.nih.gov/pubmed/31440283
http://dx.doi.org/10.22122/arya.v15i1.1885
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author Zavar, Reihaneh
Vakhshoori, Mehrbod
Mirmohammadsadeghi, Mohsen
Hashemi-Jazi, Mohammad
author_facet Zavar, Reihaneh
Vakhshoori, Mehrbod
Mirmohammadsadeghi, Mohsen
Hashemi-Jazi, Mohammad
author_sort Zavar, Reihaneh
collection PubMed
description BACKGROUND: Takotsubo syndrome (TS) is a reversible left ventricular (LV) systolic dysfunction occurred mostly in post-menopausal women after an emotional or physical stress. The exact mechanism has yet to be found. In clinical settings, TS should be differentiated from myocardial infarction (MI) due to totally different management protocols. Several diagnostic criteria are available, but mayo clinic criteria is the most widely used. Prognosis of TS is favorable and the recurrence and mortality rates are low. Treatment is mostly supportive and after a few weeks, most of patients’ electrocardiography (ECG) and echocardiographic findings will be normalized, though to its benign course, TS can cause some complications. Intra-myocardial dissection and LV apical aneurysm, as a complication of TS has never been reported yet and was just announced in rare cases of MI. CASE REPORT: Our patient was a 32-year-old aphasic woman referring with palpitation and chest discomfort. Further examinations after exclusion of MI revealed TS leading to LV apical aneurysm and intra-myocardial dissection. CONCLUSION: Intra-myocardial dissection should be considered as one of the rarest TS complications. Several studies are necessary for defining the exact pathophysiological mechanisms.
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spelling pubmed-65977972019-08-22 A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm Zavar, Reihaneh Vakhshoori, Mehrbod Mirmohammadsadeghi, Mohsen Hashemi-Jazi, Mohammad ARYA Atheroscler Case Report BACKGROUND: Takotsubo syndrome (TS) is a reversible left ventricular (LV) systolic dysfunction occurred mostly in post-menopausal women after an emotional or physical stress. The exact mechanism has yet to be found. In clinical settings, TS should be differentiated from myocardial infarction (MI) due to totally different management protocols. Several diagnostic criteria are available, but mayo clinic criteria is the most widely used. Prognosis of TS is favorable and the recurrence and mortality rates are low. Treatment is mostly supportive and after a few weeks, most of patients’ electrocardiography (ECG) and echocardiographic findings will be normalized, though to its benign course, TS can cause some complications. Intra-myocardial dissection and LV apical aneurysm, as a complication of TS has never been reported yet and was just announced in rare cases of MI. CASE REPORT: Our patient was a 32-year-old aphasic woman referring with palpitation and chest discomfort. Further examinations after exclusion of MI revealed TS leading to LV apical aneurysm and intra-myocardial dissection. CONCLUSION: Intra-myocardial dissection should be considered as one of the rarest TS complications. Several studies are necessary for defining the exact pathophysiological mechanisms. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2019-01 /pmc/articles/PMC6597797/ /pubmed/31440283 http://dx.doi.org/10.22122/arya.v15i1.1885 Text en © 2019 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Case Report
Zavar, Reihaneh
Vakhshoori, Mehrbod
Mirmohammadsadeghi, Mohsen
Hashemi-Jazi, Mohammad
A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
title A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
title_full A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
title_fullStr A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
title_full_unstemmed A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
title_short A rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
title_sort rare case of takotsubo syndrome led to intra-myocardial dissection and left ventricular apical aneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597797/
https://www.ncbi.nlm.nih.gov/pubmed/31440283
http://dx.doi.org/10.22122/arya.v15i1.1885
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