title: [Takotsubo cardiomyopathy in a young woman after a traffic accident with blunt chest trauma].
abstract: Takotsubo cardiomyopathy (TC) is characterized as an acute, reversible left ventricular dysfunction which may be triggered by mental or physical stress. In the case of a 32-year-old woman severe heart failure was observed after a traffic accident with blunt chest trauma. ECG showed ST changes mimicking acute myocardial infarction; although, echocardiography revealed a profile of left ventricular contractile disturbances typical of TC, with ejection fraction reduced to 20%. Additionally, repeated echocardiography showed transient left ventricular wall thickness, suggestive of myocardial edema. Recovery to normal heart function and morphology was confirmed in cardiovascular magnetic resonance. Coronary arteries potency was verified in multi-slice computed tomography. Summing up, it seems that TC should be included in differential diagnosis of heart failure in posttraumatic patients; however, it is impossible to say conclusively which factor was dominant in TC pathogenesis in the case presented: emotional stress or chest trauma.
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Department of Internal Medicine.
authors.forename: Waldemar
authors.initials: W
authors.lastname: Elikowski
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Department of Anesthesiology and Intensive Therapy.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Kudliński
authors.affiliation: 2nd Department of Cardiology, Poznan University of Medical Sciences, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Małek-Elikowska
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Department of Cardiology.
authors.forename: Joanna
authors.initials: J
authors.lastname: Foremska-Iciek
authors.affiliation: Radiology Unit, 2nd Department of Cardiology, Pozuan University of Medical Sciences, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Baszko
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Radiology Unit.
authors.forename: Paweł
authors.initials: P
authors.lastname: Skrzywanek
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013315:Stress, Psychological / Q000150:complications; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*
keywords: blunt chest trauma; myocardial edema; takotsubo cardiomyopathy; traffic accident