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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.
Type: article
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)

Submitter: 相川 忠夫

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