Fizikai terhelés indukálta reverzíbilis csúcsi akinézis szistolés diszfunkcióval: A tako-tsubo-szindróma egyik formája

Marton Vertesaljai, Sándor Szoke, Tibor Szonyi, Zsolt Piróth, Geza Fontos, Krisztina Szüts, Margit Szegedi, Tamas Böhm, Péter Andréka

Research output: Article

1 Citation (Scopus)

Abstract

A 43-year-old woman with mild hypertension and type-2 diabetes mellitus was presented to the coronary care unit because of ongoing chest pain and associated dyspnea after physical exercise. On arrival, her ECG disclosed ST-segment elevations in the precordial leads. The emergent cardiac catheterization failed to demonstrate coronary artery disease. The prompt performed transthoracic echocardiogram demonstrated systolic dysfunction with apical ballooning. Akinetic segments were irrespective of coronary artery anatomy. Laboratory tests revealed only slightly elevated cardiac enzymes: we observed a significant discrepancy between the extent of akinesis and the minimal increase in cardiac necroenzymes. The patient was medically managed and discharged in stable condition, with follow-up at 4 weeks demonstrating nearly total recovery of cardiac function and total resolution of wall motion disorder. Her clinical presentation is consistent with that of tako-tsubo cardiomyopathy, a syndrome that is characterized by transient apical regional wall motion abnormalities in the absence of epicardial coronary artery disease. Main precipitating factor is thought to be the cathecolamin excess due to emotional or physical stress, subarachnoid heamorrhage, phaeochromocytoma or cocaine use. The authors report the first physical exercise induced tako-tsubo syndrome in the Hungarian medical literature.

Original languageHungarian
Pages (from-to)687-690
Number of pages4
JournalOrvosi hetilap
Volume149
Issue number15
DOIs
Publication statusPublished - ápr. 13 2008

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Keywords

  • Acute coronary syndrome
  • Systolic dysfunction
  • Tako-tsubo cardiomyopathy
  • Transient apical ballooning

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Vertesaljai, M., Szoke, S., Szonyi, T., Piróth, Z., Fontos, G., Szüts, K., Szegedi, M., Böhm, T., & Andréka, P. (2008). Fizikai terhelés indukálta reverzíbilis csúcsi akinézis szistolés diszfunkcióval: A tako-tsubo-szindróma egyik formája. Orvosi hetilap, 149(15), 687-690. https://doi.org/10.1556/OH.2008.28277