Takotsubo Cardiomyopathy Associated with Chronic Psychiatric Stress in Major Depressive Disorder in an Elderly Patient
Journal of the Korean Geriatrics Society
;
: 181-184, 2015.
Artículo
en Coreano
| WPRIM
| ID: wpr-88234
ABSTRACT
Takotsubo cardiomyopathy (TC) is a transient form of acute heart failure that most often occurs in postmenopausal women, typically triggered by a preceding emotional or physical stressor. A 74-year-old woman who suffered from chronic psychiatric stress visited National Medical Center for dyspnea. Acute emotional or physical stress could not be identified despite careful history taking. An electrocardiogram showed diffuse T-wave inversions with prolonged QT interval, and the echocardiogram showed akinesia of mid and apical segments of the left ventricle with hyperkinesia at the base. There was no significant stenosis on coronary angiography. Differing from the typical case of TC, which follows acute stress triggers, our case indicates that underlying chronic psychiatric illness exacerbation can lead to TC. We suggest that cardiologists and psychiatrists be aware of this predisposition to TC, especially in the circumstances of acute heart failure.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Psiquiatría
/
Angiografía Coronaria
/
Constricción Patológica
/
Trastorno Depresivo Mayor
/
Disnea
/
Electrocardiografía
/
Cardiomiopatía de Takotsubo
/
Insuficiencia Cardíaca
/
Ventrículos Cardíacos
/
Hipercinesia
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Geriatrics Society
Año:
2015
Tipo del documento:
Artículo
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