NEGAHBAN, Abdul Qadeer, Jan MÁCHAL, Roman PANOVSKÝ and Věra FEITOVÁ. Uncommon type of tako-tsubo cardiomyopathy – Case report and current view. Cor et Vasa. Praha: Medical Tribune CZ, 2014, vol. 56, No 5, p. "e403"-"e410", 8 pp. ISSN 0010-8650. Available from: https://dx.doi.org/10.1016/j.crvasa.2013.09.004.
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Basic information
Original name Uncommon type of tako-tsubo cardiomyopathy – Case report and current view
Name in Czech Variantní forma tako-tsubo kardiomyopatie: kasuistika a současný pohled
Authors NEGAHBAN, Abdul Qadeer (203 Czech Republic, guarantor), Jan MÁCHAL (203 Czech Republic, belonging to the institution), Roman PANOVSKÝ (203 Czech Republic) and Věra FEITOVÁ (203 Czech Republic).
Edition Cor et Vasa, Praha, Medical Tribune CZ, 2014, 0010-8650.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/14:00077207
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.crvasa.2013.09.004
UT WoS 000409982000006
Keywords in English Tako-tsubo cardiomyopathy; Myocardial stunning; Coronary angiography; Late gadolinium enhancement
Tags EL OK
Tags Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 27/1/2015 11:22.
Abstract
Tako-tsubo cardiomyopathy is a heart disease that imitates acute myocardial infarction. Classical findings include apical and mid segment hypokinesia. However, it may have different appearance than was originally described. In our case report we describe a case of woman with tako-tsubo cardiomyopathy (TTC), who was admitted to hospital after a stressful event because of chest pain, with normal coronary angiogram and with mild elevation of Troponin-I level. Electrocardiogram corresponded with non-Q myocardial infarction of inferior wall. Following left ventriculography, echocardiography and magnetic resonance, impaired contractility of the basal part of inferior wall was noticed, together with good global ejection fraction. Full recovery was attained in five weeks after the onset. This impairment of left ventricle is not typical for TTC. In our patient, the basal part of left ventricle was affected, and not the apex as it is usually seen in TTC. This finding corresponds to rare “inverted” form of TTC. Another atypical feature is segmental involvement that, moreover, covered the inferior wall. This morphological pattern, according to our best knowledge, has not yet been described in literature. Pathophysiology, epidemiology and clinical significance are shortly reviewed in the paper.
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