A serious clinical course of a very elderly patient with takotsubo cardiomyopathy.
An 86-year-old woman was admitted to our hospital because of vomiting and anorexia. Although serum cardiac markers, an electrocardiogram, and echocardiography suggested acute myocardial infarction, emergency cardiac catheterization revealed akinesis of the left ventricular apex without significant coronary artery stenosis. She was diagnosed as having takotsubo cardiomyopathy. The left ventricular dysfunction was considered transient and reversible but did not improve at all, contrary to our expectations. She died of worsening heart failure on day 14. We discuss this serious clinical course of a very elderly patient with takotsubo cardiomyopathy.
Sakai
Kenya
K
Department of Internal Medicine, Kure City Medical Association Hospital, 15-24 Asahi-machi, Kure, Hiroshima 737-0056, Japan. fmly-sakai@k5.dion.ne.jp
Ochiai
Hiroyuki
H
Katayama
Norihiko
N
Nakamura
Kenji
K
Arataki
Keiko
K
Kido
Tamako
T
Iwamoto
Hiroshi
H
Nakamura
Satoe
S
Nakanishi
Toshio
T
D000369:Aged, 80 and over; D000855:Anorexia / Q000209:etiology; D015415:Biomarkers / Q000097:blood; D006328:Cardiac Catheterization; D002316:Cardiotonic Agents / Q000627:therapeutic use; D017023:Coronary Angiography; D018450:Disease Progression; D004232:Diuretics / Q000627:therapeutic use; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D017211:Treatment Failure; D014839:Vomiting / Q000209:etiology
D015415:Biomarkers; D002316:Cardiotonic Agents; D004232:Diuretics