Mortal consequences of a cooperative action between Takotsubo syndrome and increased intracranial pressure.

ESC Heart Failure
Gennaro AlfanoSalvatore Del Gaudio

Abstract

An elderly patient with head injury was registered to the emergency room. Because the patient arrived to the hospital unconscious, her cranial, cerebrovascular, and cardiac function was studied. The cardiac function measurements were (i) heart rate, (ii) blood pressure, (iii) oxygen saturation level, (iv) electrocardiogram (ECG), (v) coronary angiogram, (vi) chest computerized tomography (CT), and (vii) echocardiogram. The head damage was studied by cerebral CT and magnetic resonance imaging (MRI). The serum ischemia and inflammatory biomarkers were analysed. For the immediate treatment, the patient received cardiovascular system supporting medication. The cardiac diagnostic results were (i) the ECG suggested an elevation in the left ventricular systolic function, (ii) the blood test showed neutrophilia, increased creatine and increased troponin I kinase values, and (iii) the coronary angiogram and ECG analysis demonstrated a lack of a myocardial infarction but identified apical akinesia. The patient did not have previous symptoms of cardiovascular disease. The brain imaging demonstrated (iv) an acute ischemia in the left occipital area and (v) increased intracranial pressure. Brain MRI indicated (vi) aqueductal stenosis and (v...Continue Reading

References

Jun 15, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Thomas StiermaierIngo Eitel
Aug 5, 2017·Circulation Research·Zhili ChenJieli Chen
Mar 24, 2018·Current Neurology and Neuroscience Reports·M RanieriA Bersano

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