An Atypical Case of "Takotsubo cardiomyopathy" during Alcohol Withdrawal: Abnormality in the Transient Left Ventricular Wall Motion and a Remarkable Elevation in the ST Segment

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  • SUZUKI Kengo
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
  • OSADA Naohiko
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
  • AKASI Yoshihiro J.
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
  • SUZUKI Noriyuki
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
  • SAKAKIBARA Masayoshi
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
  • MIYAKE Fumihiko
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
  • MAKI Futaba
    Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
  • TAKAHASHI Youichi
    Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine

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  • Atypical Case of Takotsubo cardiomyopathy during Alcohol Withdrawal Abnormality in the Transient Left Ventricular Wall Motion and a Remarkable Elevation in the ST Segment

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Description

A 64-year-old man was admitted due to hypokalemia-related myopathy. He was heavy drinker. He felt the stress of alcohol withdrawal during his hospitalization. The patient suffered a cardiopulmonary arrest lasting approximately 5 minutes on the fifth hospital day. One day later, ST-segment elevation was observed in leads I, aVL, and V2-6. Emergent cardiac catheterization was performed for suspicion of acute myocardial infarction. Normal coronary arteries with anterior akinesis of the left ventricle were revealed during the procedure. The present case may be an atypical form of “Takotsubo cardiomyopathy” in which the left ventricular contraction is due to focal anterior wall motion abnormalities.

Journal

  • Internal Medicine

    Internal Medicine 43 (4), 300-305, 2004

    The Japanese Society of Internal Medicine

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