|
KMID : 0385920080190060777
|
|
Journal of the Korean Society of Emergency Medicine
2008 Volume.19 No. 6 p.777 ~ p.782
|
|
|
Tako-tsubo Syndrome after Acute Traumatic Subdural Hematoma Mimicking Acute ST Elevation Myocardial Infarction
|
|
Choi Il-Kug
Oh Seong-Beom
Kang Kyeong-Ho
Lee Young-Jin
Kim Ik-Pom
Koh Hyuk-Sang
|
|
|
Abstract
|
|
|
|
Electrocardiographic changes frequently occur after severe physical or emotional stress. Such changes can mimic acute ST-segment elevation myocardial infarction with elevated serum cardiac-specific markers (CK-MB, Troponin I), segmental wall motion abnormalities, and myocardial dysfunction. Several reports, however, have found that coronary angiography revealed no significant stenosis. We present a 70-yearold female with a traumatic subdural hematoma testing positive for cardiac enzymes, and ECG changes suggestive of acute ST-segment elevation myocardial infarction. Such a case, however, fits the diagnostic parameters of Tako-tsubo cardiomyopathy, or Tako-tsubo syndrome; even though its etiology, pathophysiology, diagnosis, and treatment remain uncertain. Tako-tsubo syndrome is characterized by a distinctive form of systolic dysfunction that predominantly affects the distal LV chamber, but a favorable outcome with appropriate medical therapy is expected. Because of its unusual nature and favorable prognosis, it is clear that Tako-tsubo syndrome is an important affliction that should be recognized by any emergency department.
|
|
|
KEYWORD
|
|
|
Takotsubo cardiomyopathy, Subdural hematoma, Traumatic, Myocardial infarction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|