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Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy
Published on: September 9, 2020
[Recurrent case of Takotsubo syndrome]
Ali Theibich1, Kim Klarlund, Mustafa Taskiran
1Kardiologisk Afsnit, Køge Sygehus, DK-4600 Køge.
We report the first case in Denmark of a woman with three episodes of transient myocardial injury (Takotsubo or stress cardiomyopathy). The condition, which mimicks acute myocardial infarction with chest pain, electrocardiographic changes and slightly elevated coronary enzymes has been explained by exaggerated sympathetic activity in the apical region of the left ventricle during emotional or physical stress causing apical ballooning. Despite this, coronary arteries are usually normal and ballooning is reversible.
We report the first case in Denmark of a woman with three episodes of transient myocardial injury (Takotsubo or stress cardiomyopathy). The condition, which mimicks acute myocardial infarction with chest pain, electrocardiographic changes and slightly elevated coronary enzymes has been explained by exaggerated sympathetic activity in the apical region of the left ventricle during emotional or physical stress causing apical ballooning. Despite this, coronary arteries are usually normal and ballooning is reversible.
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