title: A serious clinical course of a very elderly patient with takotsubo cardiomyopathy.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Kure City Medical Association Hospital, 15-24 Asahi-machi, Kure, Hiroshima 737-0056, Japan. fmly-sakai@k5.dion.ne.jp
authors.forename: Kenya
authors.initials: K
authors.lastname: Sakai
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ochiai
authors.forename: Norihiko
authors.initials: N
authors.lastname: Katayama
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakamura
authors.forename: Keiko
authors.initials: K
authors.lastname: Arataki
authors.forename: Tamako
authors.initials: T
authors.lastname: Kido
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iwamoto
authors.forename: Satoe
authors.initials: S
authors.lastname: Nakamura
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakanishi
mesh_terms: 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
chemical_list: D015415:Biomarkers; D002316:Cardiotonic Agents; D004232:Diuretics