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A fatal combination in an old lady: Tako-Tsubo cardiomyopathy, long QT syndrome, and cardiac hypertrophy.
- Source :
-
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2009 Jun; Vol. 11 (6), pp. 820-2. Date of Electronic Publication: 2009 Feb 04. - Publication Year :
- 2009
-
Abstract
- Tako-Tsubo cardiomyopathy (TT-CM), also called stress-induced cardiomyopathy or transient left ventricular (LV) apical ballooning syndrome, is characterized by transient apical or midventricular LV dysfunction that mimics myocardial infarction, but in the absence of significant coronary artery disease. The onset of TT-CM is typically triggered by an acute medical illness or by intense emotional, psychological, or physical stress. During the acute phase, a disturbed repolarization with QT prolongation in the surface ECG is frequently obvious. Despite the generally good prognosis of TT-CM, severe clinical courses have been reported due to the depressed LV function with cardiogenic shock or malignant tachyarrhythmias. We report an unusual presentation of a patient with TT-CM and recurrent episodes of torsades de pointes tachyarrhythmias. In this patient, we identified pre- and coexisting congenital long QT syndrome and severe cardiac hypertrophy--all of them associated with disturbed myocardial repolarization and predisposed the patient to malignant tachyarrhythmias.
- Subjects :
- Aged, 80 and over
Comorbidity
Diagnosis, Differential
Fatal Outcome
Female
Humans
Incidence
Risk Assessment
Risk Factors
Cardiomegaly complications
Cardiomegaly diagnosis
Electrocardiography methods
Long QT Syndrome complications
Long QT Syndrome diagnosis
Takotsubo Cardiomyopathy complications
Takotsubo Cardiomyopathy diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2092
- Volume :
- 11
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 19193677
- Full Text :
- https://doi.org/10.1093/europace/eup011