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Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
We herein report a 75-year-old woman who was diagnosed with Takotsubo syndrome (TTS) complicated by left ventricular outflow tract obstruction on admission. Treatment with beta-blocker and anticoagulant was started; however, her hemoglobin level decreased gradually, and computed tomography performed...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313900/ https://www.ncbi.nlm.nih.gov/pubmed/33551402 http://dx.doi.org/10.2169/internalmedicine.5831-20 |
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author | Mano, Yoshinori Baba, Akiyasu Sukegawa, Hiroaki Sawano, Mitsuaki Nishiyama, Takafumi Ohki, Takahiro |
author_facet | Mano, Yoshinori Baba, Akiyasu Sukegawa, Hiroaki Sawano, Mitsuaki Nishiyama, Takafumi Ohki, Takahiro |
author_sort | Mano, Yoshinori |
collection | PubMed |
description | We herein report a 75-year-old woman who was diagnosed with Takotsubo syndrome (TTS) complicated by left ventricular outflow tract obstruction on admission. Treatment with beta-blocker and anticoagulant was started; however, her hemoglobin level decreased gradually, and computed tomography performed one week later revealed hemopericardium. Oozing-type cardiac rupture was suspected; therefore, we discontinued heparin treatment. Finally, she recovered uneventfully without cardiac surgery. It is noteworthy that cardiac rupture may occur with TTS, especially in patients treated with prophylactic anticoagulation therapy for apical thrombus. Furthermore, conservative, careful observation is an alternative approach in patients with oozing-type cardiac rupture associated with TTS. |
format | Online Article Text |
id | pubmed-8313900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-83139002021-08-11 Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome Mano, Yoshinori Baba, Akiyasu Sukegawa, Hiroaki Sawano, Mitsuaki Nishiyama, Takafumi Ohki, Takahiro Intern Med Case Report We herein report a 75-year-old woman who was diagnosed with Takotsubo syndrome (TTS) complicated by left ventricular outflow tract obstruction on admission. Treatment with beta-blocker and anticoagulant was started; however, her hemoglobin level decreased gradually, and computed tomography performed one week later revealed hemopericardium. Oozing-type cardiac rupture was suspected; therefore, we discontinued heparin treatment. Finally, she recovered uneventfully without cardiac surgery. It is noteworthy that cardiac rupture may occur with TTS, especially in patients treated with prophylactic anticoagulation therapy for apical thrombus. Furthermore, conservative, careful observation is an alternative approach in patients with oozing-type cardiac rupture associated with TTS. The Japanese Society of Internal Medicine 2021-02-08 2021-07-01 /pmc/articles/PMC8313900/ /pubmed/33551402 http://dx.doi.org/10.2169/internalmedicine.5831-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Mano, Yoshinori Baba, Akiyasu Sukegawa, Hiroaki Sawano, Mitsuaki Nishiyama, Takafumi Ohki, Takahiro Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome |
title | Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome |
title_full | Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome |
title_fullStr | Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome |
title_full_unstemmed | Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome |
title_short | Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome |
title_sort | successful conservative treatment of cardiac rupture associated with takotsubo syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313900/ https://www.ncbi.nlm.nih.gov/pubmed/33551402 http://dx.doi.org/10.2169/internalmedicine.5831-20 |
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