A case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy

We describe a case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy in a 66-year-old woman. Ten minutes after the upper and lower gastrointestinal endoscopic examinations, the patient lost consciousness, went into respiratory arrest, and became cyanotic;...

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Bibliographic Details
Published inClinical journal of gastroenterology Vol. 4; no. 2; pp. 73 - 78
Main Authors Kim, Soo Ryang, Nakashima, Keiichi, Nishiuchi, Sunao, Imoto, Susumu, Nakajima, Taisuke, Ando, Kenji, Mita, Keiji, Fukuda, Katsumi, Lee, Yeong Ho, Otono, Yumi, Hayashi, Yoshitake
Format Journal Article
LanguageEnglish
Published Japan Springer Japan 01.04.2011
Subjects
Abdominal Surgery
Case Report
Colorectal Surgery
Gastroenterology
Hepatology
Medicine
Medicine & Public Health
Surgical Oncology
Takotsubo cardiomyopathy
Inverted T
Gastroenterological endoscopy
Ultrasound cardiography
Ventricular fibrillation
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Summary:We describe a case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy in a 66-year-old woman. Ten minutes after the upper and lower gastrointestinal endoscopic examinations, the patient lost consciousness, went into respiratory arrest, and became cyanotic; an electrocardiogram (ECG) showed ventricular fibrillation. Electrical defibrillation was applied three times resulting in the patient’s recovery. Subsequently, the ECG showed ST elevation in V 2 –V 3 ; ultrasound cardiography showed a severely hyperkinetic base of the left ventricle, with the rest of the ventricle akinetic; and cardiac catheterization disclosed a normal coronary artery and normal contraction of the left ventricle.
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ISSN:1865-7257
1865-7265
DOI:10.1007/s12328-010-0201-x