A Case of Takotsubo-Shaped Hypokinesis of the Left Ventricle Caused by a Lightning Strike
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概要
- 論文の詳細を見る
A 62-year-old woman was struck by lightning while on a mountain and fortunately did not suffer burns or unconsciousness. She stayed at a mountain lodge overnight and was taken to our hospital by helicopter the next day. Upon admission, electrocardiography showed ST segment elevation indicating acute lateral myocardial infarction, and echocardiography showed takotsubo-shaped hypokinesis of the left ventricle indicating an apical aneurysm. Her serum escaped enzyme levels were increased, as is typical in cases of myocardial infarction, however, she did not complain of cardiac symptoms. Coronary arteriography performed 4 days after admission showed a normal coronary artery while left ventriculography showed apical akinesia. An echocardiogram obtained 2 days later showed resolution of the LV wall motion abnormality. This is the first reported case of takotsubo cardiomyopathy caused by lightning. Takotsubo-shaped hypokinesis is not described as a complication of lightning-induced cardiac injury and its pathogenesis remains controversial.
- International Heart Journal刊行会の論文
著者
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Kitahara Osamu
Department Of Internal Medicine Omachi City General Hospital
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Yamada Hiroyoshi
Department Of Information Engineering Niigata University
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Nomura Hiroshi
Department Of Applied Chemistry Faculty Of Engineering Kanagawa University
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Agatsuma Toshihiko
Department of Medicine, Omachi General Hospital
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Hayashi Motonori
Department of Medicine, Omachi General Hospital
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- A Case of Takotsubo-Shaped Hypokinesis of the Left Ventricle Caused by a Lightning Strike