An atypical case of "Takotsubo cardiomyopathy" during alcohol withdrawal: abnormality in the transient left ventricular wall motion and a remarkable elevation in the ST segment.
A 64-year-old man was admitted due to hypokalemia-related myopathy. He was heavy drinker. He felt the stress of alcohol withdrawal during his hospitalization. The patient suffered a cardiopulmonary arrest lasting approximately 5 minutes on the fifth hospital day. One day later, ST-segment elevation was observed in leads I, aV(L), and V(2-6). Emergent cardiac catheterization was performed for suspicion of acute myocardial infarction. Normal coronary arteries with anterior akinesis of the left ventricle were revealed during the procedure. The present case may be an atypical form of "Takotsubo cardiomyopathy" in which the left ventricular contraction is due to focal anterior wall motion abnormalities.
Suzuki
Kengo
K
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki.
Osada
Naohiko
N
Akasi
Yoshihiro J
YJ
Suzuki
Noriyuki
N
Sakakibara
Masayoshi
M
Miyake
Fumihiko
F
Maki
Futaba
F
Takahashi
Youichi
Y
D009202:Cardiomyopathies / Q000139:chemically induced* / Q000150:complications / Q000503:physiopathology*; D017023:Coronary Angiography; D004562:Electrocardiography; D000431:Ethanol / Q000009:adverse effects*; D015637:Gated Blood-Pool Imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D013375:Substance Withdrawal Syndrome / Q000150:complications*; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000503:physiopathology*
D000431:Ethanol