Association of Takotsubo Cardiomyopathy and Long QT Syndrome

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概要

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• A young woman presented with takotsubo cardiomyopathy after a syncopal attack caused by torsades de pointes. Two-dimensional echocardiography on admission showed left ventricular apical akinesis (ballooning) and basal hyperkinesis, compatible with takotsubo cardiomyopathy. This gradually normalized in 2 months. ECG on admission showed remarkable QT prolongation, U waves, and negative T waves, which also gradually normalized. Coronary angiography revealed no organic stenosis; however, acetylcholine provocation test caused the QT interval to again become prolonged. During treadmill exercise stress testing, the QT interval shortened as heart rate increased. Therefore, without genetic analysis, this patient was considered to have sporadic long QT syndrome in which takotsubo cardiomyopathy developed after the syncopal attack caused by torsades de pointes.

• 社団法人日本循環器学会の論文
• 2006-08-20

著者

• Okamoto Yasuhiro

  First Department Of Internal Medicine Self-defense Forces Central Hospital

• Yoshimoto Nobuo

  Department of Cardiology, Saitama Medical Center, Saitama Medical University

• Sasaki Osamu

  Division of Cardiology, Saitama Medical Center, Saitama Medical University

• Nishioka Toshihiko

  Division of Cardiology, Saitama Medical Center, Saitama Medical University

• Nishioka Toshihiko

  Division Of Cardiology Saitama Medical Center

• Nishioka Toshihiko

  Saitama Medical Center Saitama Medical School Division Of Cardiology

• Akima Takashi

  First Department of Internal Medicine, National Defense Medical College

• Tabata Hirotsugu

  First Department of Internal Medicine, Self-Defense Forces Central Hospital

• Akanuma Masahiko

  First Department of Internal Medicine, Self-Defense Forces Central Hospital

• Uehata Akimi

  First Department of Internal Medicine, Self-Defense Forces Central Hospital

• Takase Bonpei

  First Department of Internal Medicine, National Defense Medical College

• Katsushika Shuichi

  First Department of Internal Medicine, Self-Defense Forces Central Hospital

• Isojima Kazushige

  First Department of Internal Medicine, Self-Defense Forces Central Hospital

• Ohtomi Shingo

  Division of Cardiology, Mishuku Hospital

• Yoshimoto Nobuo

  Division of Cardiology, Saitama Medical Center, Saitama Medical University

• Ohtomi Shingo

  Division Of Cardiology Mishuku Hospital

• Tabata Hirotugu

  Department Of Cardiology Mishuku Hospital

• Katsushika Syuuichi

  First Department Of Internal Medicine Self-defense Forces Central Hospital

• Yoshimoto Nobuo

  Department Of Cardiology Saitama Medical Center Saitama Medical University

• Sasaki Osamu

  Division Of Cardiology Saitama Medical Center

• Uehata Akimi

  Self Defense Forces Central Hospital, Internal Medicine

• Takase Bonpei

  National Defense Medical College Department Of Intensive Care Medicine

• Akima Takashi

  Department Of Pathology And Laboratory Medicine National Defense Medical College

• Yoshimoto Nobuo

  Division Of Cardiology Saitama Medical Center Saitama Medical School

• Nishioka Toshihiko

  Third Department Of Internal Medicine Saitama Medical Center

• Uehata Akimi

  Self Defense Forces Central Hospital Internal Medicine

• Okamoto Yasuhiro

  First Department Of Internal Medicine National Defense Medical College

• Isojima Kazushige

  First Department Of Internal Medicine Self-defense Forces Central Hospital

• Uehata Akimi

  Self Defense Forces Central Hospital

• Takase Bonpei

  Department Of Intensive Care Medicine National Defense Medical College

• Okamoto Yasuhiro

  First Department Of Internal Medicine And The First Department Of Anatomy National Defense Medical C

• Takase Bonpei

  National Defense Medical College Research Institute

• Akima Takashi

  First Department Of Internal Medicine National Defense Medical College

• Akanuma Masahiko

  Department Of Cardiology Self Defense Central Hospital

• Tabata Hirotsugu

  Department Of Cardiology Mishuku Hospital

• Tabata Hirotsugu

  First Department Of Internal Medicine Self-defense Forces Central Hospital

• Okamoto Yasuhiro

  First Department Of Internal Medicine And The First Department Of Anatomy National Defense Medical C

• Isojima Kazushige

  1st Dept. Of Int. Med. Nippon Medical School

• Uehata Akimi

  Department Of Cardiology Self Defense Central Hospital

• Katsushika Shuichi

  First Department of Internal Medicine, Self-Defense Force Central Hospital

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