Tako-tsubo cardiomyopaty after femur fracture

Autor:	Jonathan Montomoli, Luca Morolli, Davide Lazzarini, Cesare Cangiotti, Giorgio Ioli, Giancarlo Piovaccari, Sante Morelli, Paola Venturi
Rok vydání:	2012
Předmět:	Acute coronary syndrome medicine.medical_specialty Femur fracture business.industry Cardiomyopathy Warfarin medicine.disease Chest pain Broken heart syndrome Surgery Internal medicine Orthopedic surgery medicine Cardiology medicine.symptom Differential diagnosis business medicine.drug
Zdroj:	Health. :228-232
ISSN:	1949-5005 1949-4998
DOI:	10.4236/health.2012.44036
Popis:	We present the case of an 86-year-old woman referred to us from Orthopaedics Division after surgical treatment for femur fracture without personal or family history of ischemic cardiopathy. During hospitalization the patient had stomach-ache and the electrocardiogram demonstrated ST-segment elevation in anterior leads. The coronarography showed haziness, but no critical stenosis; ventricolography revealed apical ballooning of the left ventricle with severe systolic dysfunction. She was treated with dopamine in renal dose, beta-blockers and warfarin. When she was in fairly good condition, she started physiotherapy for endoprosthesis for the femur fracture. Clinicians should consider takotsubo cardiomyopathy in the differential diagnosis of patients presenting with chest pain, especially in women with a recent history of physical stress.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b3721a3704a5ad9821d4a25bf2b4b7a7 https://doi.org/10.4236/health.2012.44036 Zobrazit plný text záznamu