• Clinical cardiology · Jun 2008

    Case Reports

    Cerebral hemorrhage: precipitating event for a tako-tsubo-like cardiomyopathy?

    • Ali R Rahimi, Masanobu Katayama, and Jacob Mills.
    • Maizuru Municipal Hospital, Maizuru, Kyoto Prefectures, Japan. arrahimi@segageriatrics.com
    • Clin Cardiol. 2008 Jun 1; 31 (6): 275-80.

    AbstractThere have been some reports in medical literature of patients with profound, reversible left-ventricular (LV) dysfunction after sudden emotional stress. Originally, in Japan, the pattern was called tako-tsubo cardiomyopathy. ST-segment elevation is seen with this syndrome, and it may look like acute ST-elevation myocardial infarction. However, it has also been well established that a subarachnoid hemorrhage can manifest with cardiac abnormalities. The authors describe a case involving a cerebral hemorrhage and a potential tako-tsubo-like cardiomyopathy in the same patient. In conclusion, even though the patient's presentation appears to be a tako-tsubo syndrome, the radiographic evidence of a cerebral hemorrhage presents as a stronger etiology for the cardiac changes that occur in our patient.

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