title: [Reverse takotsubo cardiomyopathy-a life-threatening disease. Successful resuscitation of a 31-year-old woman with cardiologic shock after a visit to the dentist].
abstract: We report on a 31-year-old woman requiring resuscitation because of ventricular fibrillation during a standard dental procedure with local anaesthesia. In cardiac ventriculography, reverse takotsubo cardiomyopathy was diagnosed. Because of protracted cardiogenic shock early treatment with calcium sensitizers, as well as the use of an intra-aortic ballon pump (IABP) were necessary to achieve stable hemodynamics. Despite a maximum neuron-specific enolase value of 37.8 ng/ml, the patient was released from the hospital 19 days after admission without a neurological deficit and with completely restored cardiac function.
authors.affiliation: Innere Medizin II (Kardiologie, Pulmologie, Angiologie und Internistische Intensivmedizin), Klinikum Saarbrücken, Akademisches Lehrkrankenhaus der Universität des Saarlandes, Winterberg 1, 66119, Saarbrücken, Deutschland, tim.bleser@web.de.
authors.forename: T
authors.initials: T
authors.lastname: Bleser
authors.forename: C
authors.initials: C
authors.lastname: Weth
authors.forename: G
authors.initials: G
authors.lastname: Görge
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental; D000772:Anesthesia, Local; D001047:Apicoectomy; D003131:Combined Modality Therapy; D016854:Dental Anxiety / Q000150:complications; D004562:Electrocardiography; D005260:Female; D005440:Fluid Therapy; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D006835:Hydrazones / Q000627:therapeutic use; D007423:Intra-Aortic Balloon Pumping; D010751:Phosphopyruvate Hydratase / Q000097:blood; D011724:Pyridazines / Q000627:therapeutic use; D011859:Radiography; D012151:Resuscitation; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000628:therapy*; D000077464:Simendan; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000628:therapy*; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000628:therapy
chemical_list: D006835:Hydrazones; D011724:Pyridazines; D000077464:Simendan; D010751:Phosphopyruvate Hydratase
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