Tako-tsubo cardiomyopathy after automobile accident

Satoshi Kurisu, Ichiro Inoue, Takuji Kawagoe, Masaharu Ishihara, Yuji Shimatani, Yasuharu Nakama, Keisuke Ohkawa, Tatsuya Maruhashi, Eisuke Kagawa, Kazuoki Dai, Toshiyuki Aokage

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5 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)e16-e18
JournalInternational Journal of Cardiology
Volume118
Issue number1
DOIs
Publication statusPublished - May 16 2007
Externally publishedYes

Keywords

  • Stress
  • Tako-tsubo
  • Ventricular function

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Kurisu, S., Inoue, I., Kawagoe, T., Ishihara, M., Shimatani, Y., Nakama, Y., Ohkawa, K., Maruhashi, T., Kagawa, E., Dai, K., & Aokage, T. (2007). Tako-tsubo cardiomyopathy after automobile accident. International Journal of Cardiology, 118(1), e16-e18. https://doi.org/10.1016/j.ijcard.2006.11.214