Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report
A novel syndrome with transient asynergy of the apical segments of the left ventricle, also known as tako-tsubo cardiomyopathy, has been recently described and presents characteristics and effects similar to acute myocardial infarction. We report the case of a 69-year-old woman presenting with chest...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2016-02-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/468 |
| _version_ | 1818298281073049600 |
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| author | Antonio D’Aloia Enrico Vizzardi Pompilio Faggiano Claudia Fiorina Livio Dei Cas |
| author_facet | Antonio D’Aloia Enrico Vizzardi Pompilio Faggiano Claudia Fiorina Livio Dei Cas |
| author_sort | Antonio D’Aloia |
| collection | DOAJ |
| description | A novel syndrome with transient asynergy of the apical segments of the left ventricle, also known as tako-tsubo cardiomyopathy, has been recently described and presents characteristics and effects similar to acute myocardial infarction. We report the case of a 69-year-old woman presenting with chest pain typical of myocardial ischemia, electrocardiographic abnormalities typical of antero-lateral transmural myocardial infarction, and unstable clinical and hemodynamic condition. Trans-thoracic echocardiography showed a left ventricular dysfunction with a markedly decreased ejection fraction. The patient received heparin and abciximab bolus but coronary angiography demonstrated the absence of coronary stenoses, thrombi, and coronary spasm. Due to impaired neurological conditions the patient underwent brain tomography that showed subarachnoid haemorrhage secondary to a right vertebral artery aneurysm rupture. The possible occurrence of a reversible cardiomyopathy mimicking an acute coronary syndrome in presence of intracranial bleeding should be always considered. |
| first_indexed | 2024-12-13T04:32:50Z |
| format | Article |
| id | doaj.art-8a9f7704265040b8a1880628012715fb |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-12-13T04:32:50Z |
| publishDate | 2016-02-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-8a9f7704265040b8a1880628012715fb2022-12-21T23:59:30ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642016-02-0168110.4081/monaldi.2007.468Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case reportAntonio D’Aloia0Enrico Vizzardi1Pompilio Faggiano2Claudia Fiorina3Livio Dei Cas4Unità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, BresciaUnità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, BresciaUnità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, BresciaUnità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, BresciaUnità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, BresciaA novel syndrome with transient asynergy of the apical segments of the left ventricle, also known as tako-tsubo cardiomyopathy, has been recently described and presents characteristics and effects similar to acute myocardial infarction. We report the case of a 69-year-old woman presenting with chest pain typical of myocardial ischemia, electrocardiographic abnormalities typical of antero-lateral transmural myocardial infarction, and unstable clinical and hemodynamic condition. Trans-thoracic echocardiography showed a left ventricular dysfunction with a markedly decreased ejection fraction. The patient received heparin and abciximab bolus but coronary angiography demonstrated the absence of coronary stenoses, thrombi, and coronary spasm. Due to impaired neurological conditions the patient underwent brain tomography that showed subarachnoid haemorrhage secondary to a right vertebral artery aneurysm rupture. The possible occurrence of a reversible cardiomyopathy mimicking an acute coronary syndrome in presence of intracranial bleeding should be always considered.https://www.monaldi-archives.org/index.php/macd/article/view/468tako-tsubo cardiomyopathyacute myocardial infarctionintracranial bleedingsubarachnoid haemorrhageaneurysm rupture |
| spellingShingle | Antonio D’Aloia Enrico Vizzardi Pompilio Faggiano Claudia Fiorina Livio Dei Cas Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report Monaldi Archives for Chest Disease tako-tsubo cardiomyopathy acute myocardial infarction intracranial bleeding subarachnoid haemorrhage aneurysm rupture |
| title | Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report |
| title_full | Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report |
| title_fullStr | Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report |
| title_full_unstemmed | Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report |
| title_short | Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report |
| title_sort | intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction a case report |
| topic | tako-tsubo cardiomyopathy acute myocardial infarction intracranial bleeding subarachnoid haemorrhage aneurysm rupture |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/468 |
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