TY - JOUR
T1 - Tako-tsubo cardiomyopathy after automobile accident
AU - Kurisu, Satoshi
AU - Inoue, Ichiro
AU - Kawagoe, Takuji
AU - Ishihara, Masaharu
AU - Shimatani, Yuji
AU - Nakama, Yasuharu
AU - Ohkawa, Keisuke
AU - Maruhashi, Tatsuya
AU - Kagawa, Eisuke
AU - Dai, Kazuoki
AU - Aokage, Toshiyuki
PY - 2007/5/16
Y1 - 2007/5/16
N2 - A 53-year-old woman was involved in a traffic accident while driving her car. She had chest oppressive sensation 6 h after the accident, and was admitted to our hospital. On admission, she had no external injury. She was fully conscious, and felt anxiety about the accident. Twelve-lead electrocardiogram showed mild ST-segment elevation in leads II, III, aVF and V2-5. Chest X-ray did not show pneumothorax, rib fracture or pulmonary congestion. Emergency coronary angiography showed no significant coronary artery disease. However, left ventriculography showed akinesia of the mid-to-distal portion of the left ventricular chamber and hyperkinesia of the basal portion (ejection fraction = 45%). She was diagnosed as having tako-tsubo cardiomyopathy. Follow-up left ventriculography 11 days later showed normal wall motion of the left ventricular chamber (ejection fraction = 62%). Clinicians should recognize that tako-tsubo cardiomyopathy is one of etiologies of chest symptom after automobile accident. It can occur due to emotional stress even if patients have no external injury.
AB - A 53-year-old woman was involved in a traffic accident while driving her car. She had chest oppressive sensation 6 h after the accident, and was admitted to our hospital. On admission, she had no external injury. She was fully conscious, and felt anxiety about the accident. Twelve-lead electrocardiogram showed mild ST-segment elevation in leads II, III, aVF and V2-5. Chest X-ray did not show pneumothorax, rib fracture or pulmonary congestion. Emergency coronary angiography showed no significant coronary artery disease. However, left ventriculography showed akinesia of the mid-to-distal portion of the left ventricular chamber and hyperkinesia of the basal portion (ejection fraction = 45%). She was diagnosed as having tako-tsubo cardiomyopathy. Follow-up left ventriculography 11 days later showed normal wall motion of the left ventricular chamber (ejection fraction = 62%). Clinicians should recognize that tako-tsubo cardiomyopathy is one of etiologies of chest symptom after automobile accident. It can occur due to emotional stress even if patients have no external injury.
KW - Stress
KW - Tako-tsubo
KW - Ventricular function
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U2 - 10.1016/j.ijcard.2006.11.214
DO - 10.1016/j.ijcard.2006.11.214
M3 - Article
C2 - 17363086
AN - SCOPUS:34047165246
VL - 118
SP - e16-e18
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 1
ER -
