Broken heart syndrome in an 83-year-old woman

Basit Öğe Kaydı
dc.contributor.authorBiteker, Murat
dc.contributor.authorEkşi Duran, Nilüfer
dc.contributor.authorGündüz, Sabahattin
dc.contributor.authorCandan, Özkan
dc.contributor.authorSungur Biteker, Funda
dc.contributor.authorGökdeniz, Tayyar
dc.contributor.authorGüler, Ahmet
dc.contributor.authorÖzkan, Mehmet
dc.date.accessioned2024-07-12T21:14:15Z
dc.date.available2024-07-12T21:14:15Z
dc.date.issued2008en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractAn 83?year?old woman was admitted to the emergency department because of severe chest pain that had begun 2 hours before and radiated to the neck and left arm. Except for advanced age, she had no coronary risk factors. Her husband had died that day after 58 years of marriage. On admission, physical examination revealed no pathological findings other than slightly high blood pressure and tachycardia. Her blood pressure was 175/90?mmHg, and heart rate was 110?beats/min. Electrocardiogram showed sinus tachycardia and 2?mm ST elevation in leads I, aVL, and V2 to V6 (Figure 1A). After being given 300?mg of aspirin and 5,000?U of intravenous heparin the patient was taken to the coronary intensive care unit. Transthoracic echocardiography (TTE), performed in the coronary intensive care unit immediately, revealed apical akinesia, midventricular hypokinesia and basal hyperkinesia of the left ventricle, moderate mitral regurgitation with ejection frequency of 30%. To exclude coronary artery disease, coronary angiography was performed, which revealed noncritical coronary plaques in the left anterior descending and circumflex artery. Ventriculography showed apical and midventricular ballooning with basal hyperkinesia (Figure 1B). Chest pain disappeared spontaneously. Cardiac enzyme and troponin levels were high and reached maximal degrees (creatine kinase, 623?U/L; creatine kinase?MB, 98?U/L; troponin I, 4.2??g/L) on the second day. Her hospital course was uneventful. TTE, performed on the seventh day, revealed normal left ventricular systolic function without any segmental wall motion abnormality. Her ejection fraction was 58%, with trace mitral regurgitation. On the seventh day, myocardial perfusion scintigraphy was performed, and there was no sign of ischemia. With these findings, TC was diagnosed, and a consultation with a psychiatrist was recommended. The patient was discharged from the hospital in excellent condition and at a 1?month follow?up visit was doing well.en_US
dc.identifier.citationBiteker, M., Ekşi Duran, N., Gündüz, S., Candan, Ö., Biteker, F. S., Gökdeniz, T., Güler, A. ve Özkan, M. (2008). Broken heart syndrome in an 83-year-old woman. Journal of the American Geriatrics Society. 56(11), s. 2142-2143.en_US
dc.identifier.endpage2143en_US
dc.identifier.issue11en_US
dc.identifier.startpage2142en_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/19016948/
dc.identifier.urihttps://hdl.handle.net/20.500.12415/4605
dc.identifier.volume56en_US
dc.institutionauthorEkşi Duran, Nilüfer
dc.language.isoenen_US
dc.publisherNational Library of Medicineen_US
dc.relation.ispartofJournal of the American Geriatrics Societyen_US
dc.relation.isversionof10.1111/j.1532-5415.2008.01972.xen_US
dc.relation.publicationcategoryRaporen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY09255
dc.titleBroken heart syndrome in an 83-year-old womanen_US
dc.typeReport
dspace.entity.typePublication

Dosyalar

Koleksiyon

Tıp Fakültesi Koleksiyonu