Takotsubo-like Transient Biventricular Dysfunction with Pressure Gradients
Open Access
- 1 January 2005
- journal article
- case report
- Published by Japanese Society of Internal Medicine in Internal Medicine
- Vol. 44 (7) , 727-732
- https://doi.org/10.2169/internalmedicine.44.727
Abstract
A 78-year-old woman was admitted to our hospital due to chest oppressive sensation. Admission electrocardiography revealed ST-segment elevation in I, II, III, aVF and V2-6 leads. Left ventriculography showed apical akinesis and basal hyperkinesis with a pressure gradient of 60 mmHg between the left ventricular apex and the base. Right ventriculography also showed similar abnormal wall motion with a pressure gradient of 28 mmHg. Follow-up cardiac catheterization after 16 days showed normal wall motion with no pressure gradients. However, dobutamine stress (10 μg/kg/min) caused a pressure gradient of 60 mmHg between the left ventricular apex and the aorta.Keywords
This publication has 18 references indexed in Scilit:
- Left Ventricular Rupture Associated With Takotsubo CardiomyopathyMayo Clinic Proceedings, 2004
- Time Course of Electrocardiographic Changes in Patients With Tako-Tsubo Syndrome-Comparison With Acute Myocardial Infarction With Minimal Enzymatic Release-Circulation Journal, 2004
- Apical ballooning of the left ventricle: first series in white patientsHeart, 2003
- Evaluation of the arrhythmogenecity of Stress-Induced “Takotsubo cardiomyopathy” from the time course of the 12-lead surface electrocardiogramThe American Journal of Cardiology, 2003
- Tako-Tsubo –Like Transient Left Ventricular DysfunctionCirculation, 2003
- Assessment of clinical features in transient left ventricular apical ballooningJournal of the American College of Cardiology, 2003
- Myocardial perfusion and fatty acid metabolism in patients with tako-tsubo-like left ventricular dysfunctionJournal of the American College of Cardiology, 2003
- Left Ventricular Apical Thrombus Formation in a Patient With Suspected Tako-Tsubo-Like Left Ventricular DysfunctionCirculation Journal, 2003
- Tako-tsubo-like left ventricular dysfunction with ST-segment elevation: A novel cardiac syndrome mimicking acute myocardial infarctionAmerican Heart Journal, 2002
- Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarctionJournal of the American College of Cardiology, 2001