Tako-tsubo Syndrome after Acute Traumatic Subdural Hematoma Mimicking Acute ST Elevation Myocardial Infarction
Journal of the Korean Society of Emergency Medicine
;
: 777-782, 2008.
Article
in Korean
| WPRIM
| ID: wpr-222683
ABSTRACT
Electrocardiographic changes frequently occur after severe physical or emotional stress. Such changes can mimic acute ST-segment elevation myocardial infarction with elevated serum cardiac-specific markers (CK-MB, Troponin I), segmental wall motion abnormalities, and myocardial dysfunction. Several reports, however, have found that coronary angiography revealed no significant stenosis. We present a 70-yearold female with a traumatic subdural hematoma testing positive for cardiac enzymes, and ECG changes suggestive of acute ST-segment elevation myocardial infarction. Such a case, however, fits the diagnostic parameters of Tako-tsubo cardiomyopathy, or Tako-tsubo syndrome; even though its etiology, pathophysiology, diagnosis, and treatment remain uncertain. Tako-tsubo syndrome is characterized by a distinctive form of systolic dysfunction that predominantly affects the distal LV chamber, but a favorable outcome with appropriate medical therapy is expected. Because of its unusual nature and favorable prognosis, it is clear that Tako-tsubo syndrome is an important affliction that should be recognized by any emergency department.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Stress, Psychological
/
Troponin
/
Coronary Angiography
/
Constriction, Pathologic
/
Electrocardiography
/
Emergencies
/
Takotsubo Cardiomyopathy
/
Hematoma, Subdural
/
Hydrazines
Type of study:
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2008
Type:
Article
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