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Critical Takotsubo Cardiomyopathy Complicated by Ventricular Septal Perforation
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| Title: | Critical Takotsubo Cardiomyopathy Complicated by Ventricular Septal Perforation |
| Authors: | Aikawa, Tadao Browse this author →KAKEN DB | | Sakakibara, Mamoru Browse this author | | Takahashi, Masayuki Browse this author | | Asakawa, Kyoko Browse this author | | Dannoura, Yutaka Browse this author | | Makino, Takao Browse this author | | Koya, Tetsuro Browse this author | | Tsutsui, Hiroyuki Browse this author →KAKEN DB |
| Keywords: | Takotsubo cardiomyopathy | | apical ballooning | | ventricular septal perforation | | prolonged QT interval | | ventricular fibrillation |
| Issue Date: | 1-Jan-2015 |
| Publisher: | The Japanese Society of Internal Medicine |
| Journal Title: | Internal Medicine |
| Volume: | 54 |
| Issue: | 1 |
| Start Page: | 37 |
| End Page: | 41 |
| Publisher DOI: | 10.2169/internalmedicine.54.3475 |
| PMID: | 25742891 |
| Abstract: | An 81-year-old woman was admitted with chest pain. An electrocardiogram demonstrated ST segment elevation in leads II, III and aVF, and echocardiography revealed left ventricular apical asynergy with a left-to-right ventricular shunt. Meanwhile, emergent coronary angiography showed no significant coronary artery stenosis, whereas left ventriculography indicated apical ballooning and a left-to-right ventricular shunt. We therefore diagnosed the patient with Takotsubo cardiomyopathy complicated by ventricular septal perforation and cardiogenic shock. An electrocardiogram disclosed a prolonged QT interval over time, and the patient became hemodynamically stable under treatment with inotropes; however, she suddenly developed fatal ventricular fibrillation three days after hospitalization. Takotsubo cardiomyopathy complicated by ventricular septal perforation is a critical condition that requires careful monitoring. |
| Rights: | https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/71284 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 相川 忠夫
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