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
Dans Ko
| WPRIM
| ID: wpr-222683
Responsable en Bibliothèque :
WPRO
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pronostic
/
Stress psychologique
/
Troponine
/
Coronarographie
/
Sténose pathologique
/
Électrocardiographie
/
Urgences
/
Syndrome de tako-tsubo
/
Hématome subdural
/
Hydrazines
Type d'étude:
Prognostic_studies
Limites du sujet:
Female
/
Humans
langue:
Ko
Texte intégral:
Journal of the Korean Society of Emergency Medicine
Année:
2008
Type:
Article