Takotsubo 심근병증과 관상동맥 질환의 동시 발생 1예
Coincident Takotsubo Cardiomyopathy and Coronary Artery Disease
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참고문헌
키워드
초록
저자들은 급성 심근 경색증을 의심할 수 있는 심전도를보이는 환자에서 이전의 보고들과는 달리 관상동맥 질환과Takotsubo 심근병증이 동시에 발생한 환자를 경험하였고 이를 치료하였기에 보고하는 바이다.
Abstract
Takotsubo cardiomyopathy is characterized clinically by transient left ventricular dysfunction in patients with normal coronary angiography findings. We report a case of Takotsubo cardiomyopathy with significant stenosis on coronary angiography. A 71-year-old woman was admitted to our hospital in a drowsy mental state. She was suspected to have diabetic ketoacidosis, but cardiac enzyme levels and electrocardiogram results were typical of myocardial infarction. Coronary angiography revealed occlusion of the distal right coronary artery. Echocardiography and left ventriculography revealed reduced left ventricular function with apical ballooning. However, coronary artery stenosis did not explain the severe reduction in left ventricular function. After 11days, her left ventricular function and electrocardiogram results had returned to normal. Therefore, coronary artery disease does not rule out the presence of Takotsubo cardiomyopathy. (Korean J Med 2012;83:791-795)
참고문헌 (13)
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