A case of "Takotsubo" cardiomyopathy observed with myocardial scintigraphy from the acute phase
A 57-year-old woman was emergently admitted to our hospital because of chest oppression. On examination, blood pressure was 174/96 mmHg, pulse rate was 90/min and coarse crackle and third heart sound were audible. On laboratory data, the levels of LDH and CPK-MB were mildly elevated. Electrocardiogram (ECG) demonstrated elevation of the ST segment in leads I, aVL and V2-V5. 99mTc-tetrofosmin myocardial SPECT (TF) showed severely reduced uptake in the apex and anterior wall. Emergent coronary angiography (CAG) did not show any stenotic lesion. Left ventriculography (LVG), however, demonstrated akinesis of the apex, anterior, and inferior walls, and basal hyperkinesis. On the second hospital day, ECG demonstrated inverted T wave in leads I, aVL and V2-V5. 123I-BMIPP myocardial SPECT (BMIPP) and 123I-MIBG myocardial SPECT (MIBG) were performed on the second and fourth hospital days, respectively. These cardiac images showed severely reduced uptake equally. TF, BMIPP, and MIBG were re-examined on the eighth, tenth, and twelfth hospital days, respectively. MIBG, BMIPP, and TF showed reduced uptake in order of severity. On the fourteenth hospital day, CAG and LVG were re-examined. Coronary vasospasm provocation test was negative using ergonovine and acetylcholine, and LVG did not demonstrated any sign of asynergy. We considered that this case was "Takotsubo" cardiomyopathy and might be caused by microvascular spasm.
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2002 |
|---|---|
| Erschienen: |
2002 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
|---|---|
| Enthalten in: |
Kaku igaku. The Japanese journal of nuclear medicine - 39(2002), 4 vom: 27. Nov., Seite 511-8 |
| Sprache: |
Japanisch |
|---|
| Beteiligte Personen: |
Doue, Tomoki [VerfasserIn] |
|---|
| Anmerkungen: |
Date Completed 01.04.2003 Date Revised 20.02.2017 published: Print Citation Status MEDLINE |
|---|
| Förderinstitution / Projekttitel: |
|
|---|
| PPN (Katalog-ID): |
NLM123830478 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM123830478 | ||
| 003 | DE-627 | ||
| 005 | 20231222202223.0 | ||
| 007 | tu | ||
| 008 | 231222s2002 xx ||||| 00| ||jpn c | ||
| 028 | 5 | 2 | |a pubmed24n0413.xml |
| 035 | |a (DE-627)NLM123830478 | ||
| 035 | |a (NLM)12607239 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a jpn | ||
| 100 | 1 | |a Doue, Tomoki |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A case of "Takotsubo" cardiomyopathy observed with myocardial scintigraphy from the acute phase |
| 264 | 1 | |c 2002 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 01.04.2003 | ||
| 500 | |a Date Revised 20.02.2017 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a A 57-year-old woman was emergently admitted to our hospital because of chest oppression. On examination, blood pressure was 174/96 mmHg, pulse rate was 90/min and coarse crackle and third heart sound were audible. On laboratory data, the levels of LDH and CPK-MB were mildly elevated. Electrocardiogram (ECG) demonstrated elevation of the ST segment in leads I, aVL and V2-V5. 99mTc-tetrofosmin myocardial SPECT (TF) showed severely reduced uptake in the apex and anterior wall. Emergent coronary angiography (CAG) did not show any stenotic lesion. Left ventriculography (LVG), however, demonstrated akinesis of the apex, anterior, and inferior walls, and basal hyperkinesis. On the second hospital day, ECG demonstrated inverted T wave in leads I, aVL and V2-V5. 123I-BMIPP myocardial SPECT (BMIPP) and 123I-MIBG myocardial SPECT (MIBG) were performed on the second and fourth hospital days, respectively. These cardiac images showed severely reduced uptake equally. TF, BMIPP, and MIBG were re-examined on the eighth, tenth, and twelfth hospital days, respectively. MIBG, BMIPP, and TF showed reduced uptake in order of severity. On the fourteenth hospital day, CAG and LVG were re-examined. Coronary vasospasm provocation test was negative using ergonovine and acetylcholine, and LVG did not demonstrated any sign of asynergy. We considered that this case was "Takotsubo" cardiomyopathy and might be caused by microvascular spasm | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Fatty Acids |2 NLM | |
| 650 | 7 | |a Iodine Radioisotopes |2 NLM | |
| 650 | 7 | |a Iodobenzenes |2 NLM | |
| 650 | 7 | |a Organophosphorus Compounds |2 NLM | |
| 650 | 7 | |a Organotechnetium Compounds |2 NLM | |
| 650 | 7 | |a Radiopharmaceuticals |2 NLM | |
| 650 | 7 | |a iodofiltic acid |2 NLM | |
| 650 | 7 | |a 0J7USQ749M |2 NLM | |
| 650 | 7 | |a 3-Iodobenzylguanidine |2 NLM | |
| 650 | 7 | |a 35MRW7B4AD |2 NLM | |
| 650 | 7 | |a technetium tc-99m tetrofosmin |2 NLM | |
| 650 | 7 | |a 42FOP1YX93 |2 NLM | |
| 700 | 1 | |a Ito, Kazuki |e verfasserin |4 aut | |
| 700 | 1 | |a Yuba, Tatsuya |e verfasserin |4 aut | |
| 700 | 1 | |a Tanabe, Takuji |e verfasserin |4 aut | |
| 700 | 1 | |a Adachi, Yoshihiko |e verfasserin |4 aut | |
| 700 | 1 | |a Katoh, Shuji |e verfasserin |4 aut | |
| 700 | 1 | |a Azuma, Akihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Sugihara, Hiroki |e verfasserin |4 aut | |
| 700 | 1 | |a Nakagawa, Masao |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Kaku igaku. The Japanese journal of nuclear medicine |d 1972 |g 39(2002), 4 vom: 27. Nov., Seite 511-8 |w (DE-627)NLM000286559 |x 2189-9932 |7 nnns |
| 773 | 1 | 8 | |g volume:39 |g year:2002 |g number:4 |g day:27 |g month:11 |g pages:511-8 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 39 |j 2002 |e 4 |b 27 |c 11 |h 511-8 | ||