Stress cardiomyopathy with ST-segment elevation of the anterolateral location complicated by a secondary massive intracranial bleeding

International Journal of Cardiology
Valentina SlivnjakDusko Cerovec

Abstract

Stress cardiomyopathy or Tako-Tsubo Syndrome (TTS) clinically manifests with sudden chest pain and/or dyspnea, and is generally triggered by emotional or physical stress. Electrocardiographic (ECG) changes are similar to acute myocardial infarction with ST-elevation, but coronarography shows no significant pathomorphological changes of coronary arteries. Ventriculography and echocardiography show reversible akinesis and ballooning of the left ventricle apex with reduced ejection fraction. Like as it is with TTS, similar ECG changes are extensively reported in patients with intracerebral bleeding. We reported the case of a 52-year-old female patient who was clinically presented with stress cardiomyopathy with ST-segment elevation of the anterolateral location complicated by a secondary massive intracranial bleeding. Many cases of TTS or ECG changes in intracranial bleeding were described separately, but to our knowledge, this is the first report where both events developed in the same patient with the fatal outcome.

References

May 25, 2006·European Heart Journal·Monica GianniEva Lonn
Aug 19, 2007·International Journal of Cardiology·F DigneM Dahan
Nov 30, 2007·International Journal of Cardiology·Holger M NefA Elsässer
Dec 8, 2007·International Journal of Cardiology·Tetsuro YoshidaGenjiro Kimura

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Citations

Sep 13, 2014·International Journal of Cardiology·Josef Finsterer, Karim Wahbi
Dec 21, 2017·Neurocritical Care·Kevin T GobeskeEelco F Wijdicks

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