Recurrence of Takotsubo cardiomyopathy with coronary slow flow phenomenon

Tomotake Tokunou, Kenji Sadamatsu

Research output: Contribution to journalArticle

Abstract

This report presents the case of a 54-year-old female with Takotsubo cardiomyopathy that recurred 12 years after the first episode. The coronary angiography at the first admission revealed ergonovine-induced coronary vasoconstriction in the left coronary artery, and recurrence recurred after the interruption of vasodilator therapy to prevent vasospasm. In addition, the coronary angiography both in the first and second event demonstrated coronary slow flow phenomenon, which improved after the intracoronary administration of nicorandil. These findings indicate that coronary microvascular constriction plays an important role in the pathophysiology of Takotsubo cardiomyopathy.

Original languageEnglish
JournalJournal of Cardiology Cases
Volume5
Issue number2
DOIs
Publication statusPublished - Apr 1 2012

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No-Reflow Phenomenon
Takotsubo Cardiomyopathy
Coronary Angiography
Ergonovine
Nicorandil
Recurrence
Vasoconstriction
Vasodilator Agents
Constriction
Coronary Vessels
Therapeutics

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Recurrence of Takotsubo cardiomyopathy with coronary slow flow phenomenon. / Tokunou, Tomotake; Sadamatsu, Kenji.

In: Journal of Cardiology Cases, Vol. 5, No. 2, 01.04.2012.

Research output: Contribution to journalArticle

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