A Case of Takotsubo Cardiomyopathy Caused by Hanging
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概要
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We report a very rare case of "Takotsubo" cardiomyopathy caused by hanging. A 36-year-old woman with depression was admitted to our hospital in an unconsciousness state. She had taken a lot of narcoleptics and had drunk excessive alcohol. Her mother found her hanging with an electric cord around her neck. Her vital signs showed a blood pressure of 62/52mmHg, a pulse rate of 132beats/min and a temperature of 35.4°C. Her unconsciousness level was measured at III-300 on the Japan Coma Scale (JCS). A chest X-ray showed severe pulmonary edema. The echocardiogram showed severe hypokinesis around the left ventricular, similar to "Takotsubo." We applied an IABP because we could not maintain her blood pressure with catecholamine. Gradually her heart's wall motion improved and pulmonary edema was reduced. She was weaned from IABP on the third day. The left ventriculograms revealed "Takotsubo" like symptoms. The coronary angiography showed normal coronary arteries. The patient was discharged from our hospital on the 12th day. In this case, the serum concentration of catecholamine at the acute phase was high. It is thought that cardiomyopathy is caused by a rise in the catecholamine blood level. To the best of our knowledge, this is the first report of "Takotsubo" cardiomyopathy caused by hanging.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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