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A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report

RATIONALE: The relationship between spontaneous coronary artery dissection (SCAD) and takotsubo syndrome (TTS) remains unclear. Coexistence of SCAD and TTS has been reported in the literature. However, the relationship between these two diseases has not yet been elucidated. PATIENT CONCERNS: A 36-ye...

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Autores principales: Takeuchi, Makoto, Okada, Takenori, Ikegami, Yuki, Nakamoto, Yumiko, Idei, Naomi, Ohashi, Norihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104268/
https://www.ncbi.nlm.nih.gov/pubmed/33950969
http://dx.doi.org/10.1097/MD.0000000000025775
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author Takeuchi, Makoto
Okada, Takenori
Ikegami, Yuki
Nakamoto, Yumiko
Idei, Naomi
Ohashi, Norihiko
author_facet Takeuchi, Makoto
Okada, Takenori
Ikegami, Yuki
Nakamoto, Yumiko
Idei, Naomi
Ohashi, Norihiko
author_sort Takeuchi, Makoto
collection PubMed
description RATIONALE: The relationship between spontaneous coronary artery dissection (SCAD) and takotsubo syndrome (TTS) remains unclear. Coexistence of SCAD and TTS has been reported in the literature. However, the relationship between these two diseases has not yet been elucidated. PATIENT CONCERNS: A 36-year-old breastfeeding woman was brought to our hospital 52 days after cesarean section because of discomfort in her left arm and convulsions. DIAGNOSES: She was diagnosed of acute myocardial infarction (AMI). The convulsions were attributed to lethal arrhythmia. INTERVENTIONS: An immediate coronary angiography revealed that her left anterior descending artery (LAD) was Type 2a SCAD, but with no flow limitation. In addition, a 12-lead electrocardiogram (ECG) revealed improvement in ST-elevation. We chose the conservative treatment according to the patient's needs. OUTCOMES: Conservative treatment was unsuccessful. She developed another acute myocardial infarction requiring another percutaneous coronary intervention (PCI) during hospitalization. From the course of hospitalization, we suspected the coexistence of SCAD and TTS. LESSONS: When we treat patients with SCAD, we should consider the possibility of coexistence of TTS and confirm left ventricular wall motion. Patients with SCAD may require invasive treatment, hence, should be monitored for a while. An urgent strategy for managing patients with SCAD who require PCI should be established.
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spelling pubmed-81042682021-05-10 A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report Takeuchi, Makoto Okada, Takenori Ikegami, Yuki Nakamoto, Yumiko Idei, Naomi Ohashi, Norihiko Medicine (Baltimore) 3400 RATIONALE: The relationship between spontaneous coronary artery dissection (SCAD) and takotsubo syndrome (TTS) remains unclear. Coexistence of SCAD and TTS has been reported in the literature. However, the relationship between these two diseases has not yet been elucidated. PATIENT CONCERNS: A 36-year-old breastfeeding woman was brought to our hospital 52 days after cesarean section because of discomfort in her left arm and convulsions. DIAGNOSES: She was diagnosed of acute myocardial infarction (AMI). The convulsions were attributed to lethal arrhythmia. INTERVENTIONS: An immediate coronary angiography revealed that her left anterior descending artery (LAD) was Type 2a SCAD, but with no flow limitation. In addition, a 12-lead electrocardiogram (ECG) revealed improvement in ST-elevation. We chose the conservative treatment according to the patient's needs. OUTCOMES: Conservative treatment was unsuccessful. She developed another acute myocardial infarction requiring another percutaneous coronary intervention (PCI) during hospitalization. From the course of hospitalization, we suspected the coexistence of SCAD and TTS. LESSONS: When we treat patients with SCAD, we should consider the possibility of coexistence of TTS and confirm left ventricular wall motion. Patients with SCAD may require invasive treatment, hence, should be monitored for a while. An urgent strategy for managing patients with SCAD who require PCI should be established. Lippincott Williams & Wilkins 2021-05-07 /pmc/articles/PMC8104268/ /pubmed/33950969 http://dx.doi.org/10.1097/MD.0000000000025775 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 3400
Takeuchi, Makoto
Okada, Takenori
Ikegami, Yuki
Nakamoto, Yumiko
Idei, Naomi
Ohashi, Norihiko
A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report
title A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report
title_full A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report
title_fullStr A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report
title_full_unstemmed A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report
title_short A breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: A case report
title_sort breastfeeding woman with spontaneous coronary artery dissection and possible takotsubo syndrome: a case report
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104268/
https://www.ncbi.nlm.nih.gov/pubmed/33950969
http://dx.doi.org/10.1097/MD.0000000000025775
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