Critical takotsubo cardiomyopathy complicated by ventricular septal perforation

Tadao Aikawa, Mamoru Sakakibara, Masayuki Takahashi, Kyoko Asakawa, Yutaka Dannoura, Takao Makino, Tetsuro Koya, Hiroyuki Tsutsui

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9 Citations (Scopus)

Abstract

An 81-year-old woman was admitted with chest pain. An electrocardiogram demonstrated ST segment elevation in leads II, III and aVF, and echocardiography revealed left ventricular apical asynergy with a left-toright ventricular shunt. Meanwhile, emergent coronary angiography showed no significant coronary artery stenosis, whereas left ventriculography indicated apical ballooning and a left-to-right ventricular shunt. We therefore diagnosed the patient with Takotsubo cardiomyopathy complicated by ventricular septal perforation and cardiogenic shock. An electrocardiogram disclosed a prolonged QT interval over time, and the patient became hemodynamically stable under treatment with inotropes; however, she suddenly developed fatal ventricular fibrillation three days after hospitalization. Takotsubo cardiomyopathy complicated by ventricular septal perforation is a critical condition that requires careful monitoring.

Original languageEnglish
Pages (from-to)37-41
Number of pages5
JournalInternal Medicine
Volume54
Issue number1
DOIs
Publication statusPublished - Jan 1 2015
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Internal Medicine

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