title: A case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy.
abstract: We describe a case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy in a 66-year-old woman. Ten minutes after the upper and lower gastrointestinal endoscopic examinations, the patient lost consciousness, went into respiratory arrest, and became cyanotic; an electrocardiogram (ECG) showed ventricular fibrillation. Electrical defibrillation was applied three times resulting in the patient's recovery. Subsequently, the ECG showed ST elevation in V2-V3; ultrasound cardiography showed a severely hyperkinetic base of the left ventricle, with the rest of the ventricle akinetic; and cardiac catheterization disclosed a normal coronary artery and normal contraction of the left ventricle.
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan. asahi-hp@arion.ocn.ne.jp.
authors.forename: Soo Ryang
authors.initials: SR
authors.lastname: Kim
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Nakashima
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Sunao
authors.initials: S
authors.lastname: Nishiuchi
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Imoto
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Taisuke
authors.initials: T
authors.lastname: Nakajima
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Ando
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Keiji
authors.initials: K
authors.lastname: Mita
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Katsumi
authors.initials: K
authors.lastname: Fukuda
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Yeong Ho
authors.initials: YH
authors.lastname: Lee
authors.affiliation: Department of Gastroenterology, Kobe Asahi Hospital, 3-5-25 Bououji-cho, Nagata-ku, Kobe, 653-0801, Japan.
authors.forename: Yumi
authors.initials: Y
authors.lastname: Otono
authors.affiliation: Center for Infectious Diseases (CID), Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Yoshitake
authors.initials: Y
authors.lastname: Hayashi
keywords: Gastroenterological endoscopy; Inverted T; Takotsubo cardiomyopathy; Ultrasound cardiography; Ventricular fibrillation