Tako-tsubo Syndrome after Acute Traumatic Subdural Hematoma Mimicking Acute ST Elevation Myocardial Infarction.
- Author:
Il Kug CHOI
1
;
Seong Beom OH
;
Kyeong Ho KANG
;
Young Jin LEE
;
Ik Pom KIM
;
Hyuk Sang KOH
Author Information
1. Department of Emergency Medicine, College of Medicine, Dankook University, Cheonan, Korea. holytiger@hanmail.net
- Publication Type:Case Report
- Keywords:
Takotsubo cardiomyopathy;
Subdural hematoma;
Traumatic;
Myocardial infarction
- MeSH:
Constriction, Pathologic;
Coronary Angiography;
Electrocardiography;
Emergencies;
Female;
Hematoma, Subdural;
Humans;
Hydrazines;
Myocardial Infarction;
Prognosis;
Stress, Psychological;
Takotsubo Cardiomyopathy;
Troponin
- From:Journal of the Korean Society of Emergency Medicine
2008;19(6):777-782
- CountryRepublic of Korea
- Language:Korean
-
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.
