Autor: |
Simões MV; Divisão de Cardiologia, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, USP, Ribeirão Preto, SP, Brasil. simoesmv@yahoo.com, Marin-Neto JA, Romano MM, O'Connell JL, de Santi GL, Maciel BC |
Jazyk: |
English; Portuguese |
Zdroj: |
Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2007 Oct; Vol. 89 (4), pp. e79-83. |
DOI: |
10.1590/s0066-782x2007001600012 |
Abstrakt: |
The case presented here is of a 71-yr-old female patient who met the diagnostic criteria for stress-induced cardiomyopathy, which was triggered by intense emotional stress after being hit by a bicycle. The clinical picture mimicked that of an acute myocardial infarction, manifesting as precordial pain, ST-segment depression followed by deep negative T waves and prolonging of the QT interval, slight increase in cardiac enzymes and coursing with transient apical ballooning of the left ventricle and hyperkinesis of the basal walls (conferring the aspect of "apical ballooning"), although in the absence of subepicardial coronary obstruction. Ventricular function normalized after the second week of clinical evolution. |
Databáze: |
MEDLINE |
Externí odkaz: |
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