Can a pneumothorax break your heart?
| Autor: | Martina Schumacher, Silvio Horn, Hans-Georg Gnauk, Peter Adeberg, Stylianos Mavridis, Roland H. Wagner |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
lcsh:R5-920
medicine.medical_specialty Apical ballooning business.industry apical ballooning medicine.medical_treatment tako-tsubo cardiomyopathy Cardiomyopathy spontaneous pneumothorax General Medicine tube thoracostomy medicine.disease Thoracostomy Surgery Pneumothorax Internal medicine Troponin I medicine Cardiology Rare syndrome thoracoscopic Secondary spontaneous pneumothorax lcsh:Medicine (General) business Cardiac catheterization |
| Zdroj: | Medical Journal of Indonesia, Vol 24, Iss 1, Pp 55-8 (2015) |
| ISSN: | 2252-8083 0853-1773 |
| DOI: | 10.13181/mji.v24i1.1179 |
| Popis: | Takotsubo cardiomyopathy or apical ballooning is a condition characterized by transitory left ventricular dysfunction, affecting commonly postmenopausal females after foregoing acute emotional or physical stress. We report a case of a 63 year old female presenting with severe dyspnea and right-sided secondary spontaneous pneumothorax, initially treated with tube thoracostomy. Despite the fact that pneumothorax resolved, shortness of breath persisted and due to ST-segment elevation and increased Troponin I levels, she was admitted to cardiac catheterization. A significant coronary stenosis was ruled out and the diagnosis of a Takotsubo cardiomyopathy was established. Electrocardiographic findings were normalized within three days and attributable to prolonged air leakage. A thoracoscopic apex resection followed by a partial parietal pleurectomy was performed. Although Takotsubo cardiomyopathy is a rare syndrome, it should always be considered as a potential cardiac complication of a pneumothorax. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|