A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble
Background. Takotsubo is a syndrome characterized by transient regional systolic dysfunction of the left ventricle (LV). The most common clinical presentation mimics acute myocardial infarction without angiographic evidence of obstructive coronary artery disease or acute plaque rupture.1-3 The dia...
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| Format: | Article |
| Language: | English |
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Indonesian Heart Association
2023-10-01
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| Series: | Majalah Kardiologi Indonesia |
| Subjects: | |
| Online Access: | https://ijconline.id/index.php/ijc/article/view/1368 |
| _version_ | 1827787197615439872 |
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| author | Dafsah Arifa Juzar Bayushi Eka Putra |
| author_facet | Dafsah Arifa Juzar Bayushi Eka Putra |
| author_sort | Dafsah Arifa Juzar |
| collection | DOAJ |
| description |
Background.
Takotsubo is a syndrome characterized by transient regional systolic dysfunction of the left ventricle (LV). The most common clinical presentation mimics acute myocardial infarction without angiographic evidence of obstructive coronary artery disease or acute plaque rupture.1-3 The diagnosis and management became a challenge when it presented as atypical symptoms and significant obstructive coronary artery. Thus, this case report highlights the diagnosis and management of Takotsubo Cardiomyopathy with obstructive coronary artery disease.
Case illustration.
A 71 years old woman came to the emergency room with a chief complaint of dyspnea from one week ago and worsened in the last three days. The initial electrocardiogram showed slight ST-elevation, and thorax Rontgen showed the congestion and elongation of the aorta. Increased high-sensitive Cardiac Troponin T and The NT-Pro BNP levels were present, along with apical ballooning of the LV and reduced RV function. Physiological stress was found to be the death of her husband one week ago. Although the left ventriculography of this patient was classically depicted as the octopus trap, we did find obstructive coronary artery disease in the left anterior descending artery.
Keywords: Takotsubo Cardiomyopathy, Uncommon presentation, Coronary artery disease, apical ballooning, acute heart failure
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| first_indexed | 2024-03-11T16:46:02Z |
| format | Article |
| id | doaj.art-32678d8bca55435c9148ef0c43d9bfad |
| institution | Directory Open Access Journal |
| issn | 0126-3773 2620-4762 |
| language | English |
| last_indexed | 2024-03-11T16:46:02Z |
| publishDate | 2023-10-01 |
| publisher | Indonesian Heart Association |
| record_format | Article |
| series | Majalah Kardiologi Indonesia |
| spelling | doaj.art-32678d8bca55435c9148ef0c43d9bfad2023-10-22T14:49:12ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622023-10-0143410.30701/ijc.1368A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double TroubleDafsah Arifa Juzar0Bayushi Eka Putra1Jurnal Kardiologi IndonesiaDepartment Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia Background. Takotsubo is a syndrome characterized by transient regional systolic dysfunction of the left ventricle (LV). The most common clinical presentation mimics acute myocardial infarction without angiographic evidence of obstructive coronary artery disease or acute plaque rupture.1-3 The diagnosis and management became a challenge when it presented as atypical symptoms and significant obstructive coronary artery. Thus, this case report highlights the diagnosis and management of Takotsubo Cardiomyopathy with obstructive coronary artery disease. Case illustration. A 71 years old woman came to the emergency room with a chief complaint of dyspnea from one week ago and worsened in the last three days. The initial electrocardiogram showed slight ST-elevation, and thorax Rontgen showed the congestion and elongation of the aorta. Increased high-sensitive Cardiac Troponin T and The NT-Pro BNP levels were present, along with apical ballooning of the LV and reduced RV function. Physiological stress was found to be the death of her husband one week ago. Although the left ventriculography of this patient was classically depicted as the octopus trap, we did find obstructive coronary artery disease in the left anterior descending artery. Keywords: Takotsubo Cardiomyopathy, Uncommon presentation, Coronary artery disease, apical ballooning, acute heart failure https://ijconline.id/index.php/ijc/article/view/1368CAD |
| spellingShingle | Dafsah Arifa Juzar Bayushi Eka Putra A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble Majalah Kardiologi Indonesia CAD |
| title | A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble |
| title_full | A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble |
| title_fullStr | A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble |
| title_full_unstemmed | A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble |
| title_short | A Broken Heart Coexisting with Obstructive Coronary Artery Disease: Double Trouble |
| title_sort | broken heart coexisting with obstructive coronary artery disease double trouble |
| topic | CAD |
| url | https://ijconline.id/index.php/ijc/article/view/1368 |
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