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Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure
An elderly patient with head injury was registered to the emergency room. Because the patient arrived to the hospital unconscious, her cranial, cerebrovascular, and cardiac function was studied. The cardiac function measurements were (i) heart rate, (ii) blood pressure, (iii) oxygen saturation level...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261570/ https://www.ncbi.nlm.nih.gov/pubmed/32142222 http://dx.doi.org/10.1002/ehf2.12601 |
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author | Alfano, Gennaro Ciervo, Deasy Migliore, Teresa Sorbo, Antonia Ariello, Manuela Vitale, Andrea Laukkanen, Mikko O. Del Gaudio, Salvatore |
author_facet | Alfano, Gennaro Ciervo, Deasy Migliore, Teresa Sorbo, Antonia Ariello, Manuela Vitale, Andrea Laukkanen, Mikko O. Del Gaudio, Salvatore |
author_sort | Alfano, Gennaro |
collection | PubMed |
description | An elderly patient with head injury was registered to the emergency room. Because the patient arrived to the hospital unconscious, her cranial, cerebrovascular, and cardiac function was studied. The cardiac function measurements were (i) heart rate, (ii) blood pressure, (iii) oxygen saturation level, (iv) electrocardiogram (ECG), (v) coronary angiogram, (vi) chest computerized tomography (CT), and (vii) echocardiogram. The head damage was studied by cerebral CT and magnetic resonance imaging (MRI). The serum ischemia and inflammatory biomarkers were analysed. For the immediate treatment, the patient received cardiovascular system supporting medication. The cardiac diagnostic results were (i) the ECG suggested an elevation in the left ventricular systolic function, (ii) the blood test showed neutrophilia, increased creatine and increased troponin I kinase values, and (iii) the coronary angiogram and ECG analysis demonstrated a lack of a myocardial infarction but identified apical akinesia. The patient did not have previous symptoms of cardiovascular disease. The brain imaging demonstrated (iv) an acute ischemia in the left occipital area and (v) increased intracranial pressure. Brain MRI indicated (vi) aqueductal stenosis and (vii) multiple gliomatotic foci demonstrating hydrocephalus caused by gliomatosis cerebri. A chest CT indicated (viii) chronic obstructive pulmonary disease (COPD). One week later, the patient died because of cardiac arrest. The diagnosis was Takotsubo syndrome enforced by gliomatosis cerebri and COPD. To our knowledge, this is the first reported case in which the cardiac dysfunction of the patient is associated with gliomatosis cerebri‐derived hydrocephalus and increased intracranial pressure that together with COPD may have enhanced the negative clinical outcome. |
format | Online Article Text |
id | pubmed-7261570 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72615702020-06-01 Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure Alfano, Gennaro Ciervo, Deasy Migliore, Teresa Sorbo, Antonia Ariello, Manuela Vitale, Andrea Laukkanen, Mikko O. Del Gaudio, Salvatore ESC Heart Fail Case Report An elderly patient with head injury was registered to the emergency room. Because the patient arrived to the hospital unconscious, her cranial, cerebrovascular, and cardiac function was studied. The cardiac function measurements were (i) heart rate, (ii) blood pressure, (iii) oxygen saturation level, (iv) electrocardiogram (ECG), (v) coronary angiogram, (vi) chest computerized tomography (CT), and (vii) echocardiogram. The head damage was studied by cerebral CT and magnetic resonance imaging (MRI). The serum ischemia and inflammatory biomarkers were analysed. For the immediate treatment, the patient received cardiovascular system supporting medication. The cardiac diagnostic results were (i) the ECG suggested an elevation in the left ventricular systolic function, (ii) the blood test showed neutrophilia, increased creatine and increased troponin I kinase values, and (iii) the coronary angiogram and ECG analysis demonstrated a lack of a myocardial infarction but identified apical akinesia. The patient did not have previous symptoms of cardiovascular disease. The brain imaging demonstrated (iv) an acute ischemia in the left occipital area and (v) increased intracranial pressure. Brain MRI indicated (vi) aqueductal stenosis and (vii) multiple gliomatotic foci demonstrating hydrocephalus caused by gliomatosis cerebri. A chest CT indicated (viii) chronic obstructive pulmonary disease (COPD). One week later, the patient died because of cardiac arrest. The diagnosis was Takotsubo syndrome enforced by gliomatosis cerebri and COPD. To our knowledge, this is the first reported case in which the cardiac dysfunction of the patient is associated with gliomatosis cerebri‐derived hydrocephalus and increased intracranial pressure that together with COPD may have enhanced the negative clinical outcome. John Wiley and Sons Inc. 2020-03-06 /pmc/articles/PMC7261570/ /pubmed/32142222 http://dx.doi.org/10.1002/ehf2.12601 Text en © 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Report Alfano, Gennaro Ciervo, Deasy Migliore, Teresa Sorbo, Antonia Ariello, Manuela Vitale, Andrea Laukkanen, Mikko O. Del Gaudio, Salvatore Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure |
title | Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure |
title_full | Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure |
title_fullStr | Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure |
title_full_unstemmed | Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure |
title_short | Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure |
title_sort | mortal consequences of a cooperative action between takotsubo syndrome and increased intracranial pressure |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261570/ https://www.ncbi.nlm.nih.gov/pubmed/32142222 http://dx.doi.org/10.1002/ehf2.12601 |
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