Cardiomiopatia de Takotsubo como causa de infarto agudo do miocárdio em paciente em uso de anti-histamínico associado a pseudo-efedrina / Acute myocardial infarction resulting from takotsubo cardiomyopathy in patient on antihistaminics
Rev. bras. cardiol. invasiva
;
15(1): 73-76, jan.-mar. 2007. ilus
Article
in Portuguese
| LILACS
| ID: lil-452032
RESUMO
Relatamos o caso de uma senhora de 77 anos, que vinha em uso de anti-histamínico associado a pseudo-efedrina por processo alérgico de vias aéreas superiores, admitida no Pronto Socorro com quadro de infarto agudo do miocárdio com elevação do segmento ST em parede ântero-lateral. O cateterismo cardíaco revelou artérias coronárias tortuosas e sem lesões obstrutivas, com hipercontratilidade esquerda. Devido a derrames pericárdicos de repetição, foi submetida à drenagem pleuro-pericárdica. Causas reumatológicas foram excluídas. Após 30 dias, recebeu alta em boas condições clínicas...
ABSTRACT
This is the report on a 77-year-old female patient on antihistaminic associated to pseudoephedrin to treat an allergy conditionin upper airways. The patient was admitted to the Emergency Unit with acute myocardial infarction and ST segment elevation in the antero-lateral wall. Cardiac catheterism showed tortuous coronaries, no obstructive lesions, and baselinehypercontractility associated to antero-apical akinesia on left ventriculography. As a result of repeated pericardial strokes, the patient was submitted to pleuro-pericardial drainage. Rheumatological causes were ruled out. The patient was discharged after 30 days in good clinical conditions.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Ephedrine
/
Histamine H1 Antagonists
/
Cardiomyopathies
/
Myocardial Infarction
Type of study:
Etiology study
Limits:
Aged
/
Female
/
Humans
Language:
Portuguese
Journal:
Rev. bras. cardiol. invasiva
Journal subject:
Cardiology
/
General Surgery
Year:
2007
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Beneficência Portuguesa de São Paulo/BR
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