RESUMEN
Takotsubo cardiomyopathy (TTC) is a syndrome of acute left ventricular dysfunction with a clinical presentation often mimicking acute coronary syndrome. Without a high index of suspicion, this clinical entity often goes unrecognized. Although initially categorized as a benign completely reversible condition, it is no longer considered to be so. Recurrence of this condition, though rare, has been reported in a non-Indian population. We present a case of recurrent TTC in a postmenopausal Indian lady who had a similar clinical presentation both at the index event and at recurrence.
Asunto(s)
Posmenopausia , Estrés Psicológico/complicaciones , Taquicardia Sinusal/diagnóstico por imagen , Cardiomiopatía de Takotsubo/diagnóstico , Disfunción Ventricular Izquierda/diagnóstico por imagen , Ecocardiografía , Electrocardiografía , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Recurrencia , Cardiomiopatía de Takotsubo/etiología , Cardiomiopatía de Takotsubo/psicología , Troponina T/sangre , Disfunción Ventricular Izquierda/etiologíaRESUMEN
Infective endocarditis (IE) is a rare but serious complication of permanent cardiac pacemaker placement. Endocarditis in the presence of prosthetic valves and pacemakers is usually due to staphylococci. We present a case of pacemaker endocarditis caused by Pseudomonas aeruginosa that was successfully treated with a combination of antimicrobial therapy and percutaneous removal of the colonized lead.
