• J Cardiovasc Med (Hagerstown) · May 2008

    Case Reports

    Near-drowning syndrome: a possible trigger of tako-tsubo cardiomyopathy.

    • Rudolfo Citro, Marco Mariano Patella, Eduardo Bossone, AntonGiulio Maione, Gennaro Provenza, and Giovanni Gregorio.
    • UO UTIC-Cardiologia San Luca Hospital, Vallo della Lucania SA, Italy. rodolfo.citro@email.it
    • J Cardiovasc Med (Hagerstown). 2008 May 1;9(5):501-5.

    AbstractWe report a case of transient tako-tsubo cardiomyopathy characterized by an unusual trigger in a woman victim of near-drowning syndrome. After 24 h, electrocardiogram changes and a typical echocardiographic pattern of apical ballooning with a mild increase of serum troponin level induced the suspicion of tako-tsubo cardiomyopathy despite the absence of chest pain. Left ventriculography confirmed the apical ballooning, and coronary angiography revealed normal coronary arteries. Electrocardiogram changes and apical contraction abnormalities were reversed within 1 month. In conclusion, we hypothesize that hypoxemia related to near-drowning syndrome could have induced transient myocardial dysfunction mediated by a sympathetic nerve activation.

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