RESUMO
Thrombocytopenia with absent radii (TAR) syndrome is a rare genetic condition causing absent radial bones and thrombocytopenia. Management is generally supportive although there may be a role for platelet-stimulating agents such as romiplostim. In this case, we highlight the obstacles in managing end-stage heart failure in a patient with TAR syndrome.
Assuntos
Insuficiência Cardíaca , Trombocitopenia , Deformidades Congênitas das Extremidades Superiores , Síndrome Congênita de Insuficiência da Medula Óssea , Humanos , Rádio (Anatomia)/diagnóstico por imagem , Trombocitopenia/complicaçõesRESUMO
Takotsubo cardiomyopathy is an acute cardiac condition characterized by transient systolic dysfunction of the left ventricular apex and mid-ventricle. Documented EKG presentations for Takotsubo cardiomyopathy include ST-segment elevation or T-wave inversion. These EKG presentations are included in the diagnostic requirements for Takotsubo cardiomyopathy. This paper presents two cases of atypical EKG presentations, both conduction system disorders, and their possible mechanisms. Changes to the diagnostic criteria for Takotsubo cardiomyopathy should be considered to include these variant EKG presentations.
