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Takotsubo Cardiomyopathy and Subsequent Seizures Induced by Flexible Bronchoscopy
Shion Miyoshi1, Yuichiro Takeda2, Shoki Ro2
1Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan. shion728532@yahoo.co.jp.
Abstract:
Takotsubo cardiomyopathy is a transient left-ventricular dysfunction that typically occurs in elderly women due to emotional or physical stress. An 85-y-old woman underwent flexible bronchoscopy to evaluate her malignant lymphoma. After flexible bronchoscopy, she experienced takotsubo cardiomyopathy diagnosed by left ventriculography and subsequent generalized tonic-clonic seizure diagnosed by electroencephalography. Magnetic resonance imaging of her brain after 1 d showed post-convulsive encephalopathy. We believe that these 2 consecutive incidents were caused by the physical stress of the flexible bronchoscopy.
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