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Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease

Takotsubo cardiomyopathy is a transient wall motion abnormality of the left ventricular apex, accompanied by emotional or physical stress. Although Takotsubo cardiomyopathy is generally considered a benign disease, severe clinical complications may occur, and early detection of the disease is import...

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Autores principales: Ito, Masahiro, Fukui, Kazuhito, Miyamoto, Niichi, Kato, Hiroshi, Miki, Kenji, Shiobara, Keiji, Nagai, Tsuneo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Association of Rural Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8984618/
https://www.ncbi.nlm.nih.gov/pubmed/35432639
http://dx.doi.org/10.2185/jrm.2021-055
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author Ito, Masahiro
Fukui, Kazuhito
Miyamoto, Niichi
Kato, Hiroshi
Miki, Kenji
Shiobara, Keiji
Nagai, Tsuneo
author_facet Ito, Masahiro
Fukui, Kazuhito
Miyamoto, Niichi
Kato, Hiroshi
Miki, Kenji
Shiobara, Keiji
Nagai, Tsuneo
author_sort Ito, Masahiro
collection PubMed
description Takotsubo cardiomyopathy is a transient wall motion abnormality of the left ventricular apex, accompanied by emotional or physical stress. Although Takotsubo cardiomyopathy is generally considered a benign disease, severe clinical complications may occur, and early detection of the disease is important. In this report, we present the case of an 86-year-old bedridden woman with a history of bronchial asthma who was transferred to our hospital because of wheezing. She was diagnosed with Alzheimer’s disease and had communication difficulties. After an asthma attack and improvement, Takotsubo cardiomyopathy was identified via electrocardiography. She was unable to complain of any symptoms but showed serial electrocardiographic changes, elevated myocardial markers, and transient left ventricular apical ballooning. The prevalence of dementia increases dramatically with age. This case indicates that Takotsubo cardiomyopathy may occur even in patients with severe dementia, who are bedridden and show communication difficulties in a clinical setting.
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spelling pubmed-89846182022-04-14 Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease Ito, Masahiro Fukui, Kazuhito Miyamoto, Niichi Kato, Hiroshi Miki, Kenji Shiobara, Keiji Nagai, Tsuneo J Rural Med Case Report Takotsubo cardiomyopathy is a transient wall motion abnormality of the left ventricular apex, accompanied by emotional or physical stress. Although Takotsubo cardiomyopathy is generally considered a benign disease, severe clinical complications may occur, and early detection of the disease is important. In this report, we present the case of an 86-year-old bedridden woman with a history of bronchial asthma who was transferred to our hospital because of wheezing. She was diagnosed with Alzheimer’s disease and had communication difficulties. After an asthma attack and improvement, Takotsubo cardiomyopathy was identified via electrocardiography. She was unable to complain of any symptoms but showed serial electrocardiographic changes, elevated myocardial markers, and transient left ventricular apical ballooning. The prevalence of dementia increases dramatically with age. This case indicates that Takotsubo cardiomyopathy may occur even in patients with severe dementia, who are bedridden and show communication difficulties in a clinical setting. The Japanese Association of Rural Medicine 2022-04-06 2022-04 /pmc/articles/PMC8984618/ /pubmed/35432639 http://dx.doi.org/10.2185/jrm.2021-055 Text en ©2022 The Japanese Association of Rural Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Report
Ito, Masahiro
Fukui, Kazuhito
Miyamoto, Niichi
Kato, Hiroshi
Miki, Kenji
Shiobara, Keiji
Nagai, Tsuneo
Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease
title Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease
title_full Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease
title_fullStr Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease
title_full_unstemmed Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease
title_short Takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to Alzheimer’s disease
title_sort takotsubo cardiomyopathy in a bedridden patient with dementia and communication difficulties due to alzheimer’s disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8984618/
https://www.ncbi.nlm.nih.gov/pubmed/35432639
http://dx.doi.org/10.2185/jrm.2021-055
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