International journal of cardiology
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Letter Case Reports
A case of Takotsubo cardiomyopathy in a patient with iatrogenic thyrotoxicosis.
Takotsubo cardiomyopathy is a condition caused by intense emotional or physical stress leading to rapid and severe reversible cardiac dysfunction. The etiology and mechanism of this disease are unknown. ⋯ There were some reports of Takotsubo cardiomyopathy with hyperthyroidism, especially Grave's disease. We report a patient who presented chest pain and cardiac arrest, and finally diagnosed as Takotsubo cardiomyopathy caused by iatrogenic thyrotoxicosis.
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Letter Case Reports
ST-elevation myocardial infarction associated with acute ischemic stroke.
Randomized clinical studies have demonstrated that tissue plasminogen activator thrombolytic therapy improves functional outcomes. Recently the time window for tissue plasminogen activator thrombolytic therapy has been extended from 3 to 4.5 h after ischemic stroke onset, which will allow more ischemic stroke patients to benefit from this treatment. ⋯ We present a case of tissue plasminogen activator thrombolytic therapy in a 68-year-old Italian man admitted to the Emergency Department with heart failure, ischemic stroke and ST-elevation myocardial infarction. Also this case focuses attention on regression of ischemic stroke symptoms in STEMI patient treated with tissue plasminogen activator thrombolytic therapy.