Possible association of influenza A infection and reverse takotsubo syndrome.
Identifieur interne : 000969 ( Main/Exploration ); précédent : 000968; suivant : 000970Possible association of influenza A infection and reverse takotsubo syndrome.
Auteurs : Shmuel Golfeyz [États-Unis] ; Takaaki Kobayashi [États-Unis] ; Shunsuke Aoi [États-Unis] ; Matthew Harrington [États-Unis]Source :
- BMJ case reports [ 1757-790X ] ; 2018.
Descripteurs français
- KwdFr :
- Acide acétylsalicylique (usage thérapeutique), Antiagrégants plaquettaires (usage thérapeutique), Antiviraux (usage thérapeutique), Coronarographie, Douleur thoracique (physiopathologie), Douleur thoracique (étiologie), Femelle, Grippe humaine (), Grippe humaine (physiopathologie), Grippe humaine (traitement médicamenteux), Humains, Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase (usage thérapeutique), Oséltamivir (usage thérapeutique), Résultat thérapeutique, Sujet âgé, Syndrome coronarien aigu (diagnostic), Syndrome coronarien aigu (physiopathologie), Syndrome coronarien aigu (traitement médicamenteux), Syndrome de tako-tsubo (diagnostic), Syndrome de tako-tsubo (physiopathologie), Syndrome de tako-tsubo (traitement médicamenteux), Virus de la grippe A (immunologie), Virus de la grippe A (pathogénicité).
- MESH :
- diagnostic : Syndrome coronarien aigu, Syndrome de tako-tsubo.
- immunologie : Virus de la grippe A.
- pathogénicité : Virus de la grippe A.
- physiopathologie : Douleur thoracique, Grippe humaine, Syndrome coronarien aigu, Syndrome de tako-tsubo.
- traitement médicamenteux : Grippe humaine, Syndrome coronarien aigu, Syndrome de tako-tsubo.
- usage thérapeutique : Acide acétylsalicylique, Antiagrégants plaquettaires, Antiviraux, Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase, Oséltamivir.
- étiologie : Douleur thoracique.
- Coronarographie, Femelle, Grippe humaine, Humains, Résultat thérapeutique, Sujet âgé.
English descriptors
- KwdEn :
- Acute Coronary Syndrome (diagnosis), Acute Coronary Syndrome (drug therapy), Acute Coronary Syndrome (physiopathology), Aged, Antiviral Agents (therapeutic use), Aspirin (therapeutic use), Atorvastatin (therapeutic use), Chest Pain (etiology), Chest Pain (physiopathology), Coronary Angiography, Female, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors (therapeutic use), Influenza A virus (immunology), Influenza A virus (pathogenicity), Influenza, Human (complications), Influenza, Human (drug therapy), Influenza, Human (physiopathology), Oseltamivir (therapeutic use), Platelet Aggregation Inhibitors (therapeutic use), Takotsubo Cardiomyopathy (diagnosis), Takotsubo Cardiomyopathy (drug therapy), Takotsubo Cardiomyopathy (physiopathology), Treatment Outcome.
- MESH :
- chemical , therapeutic use : Antiviral Agents, Aspirin, Atorvastatin, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Oseltamivir, Platelet Aggregation Inhibitors.
- complications : Influenza, Human.
- diagnosis : Acute Coronary Syndrome, Takotsubo Cardiomyopathy.
- drug therapy : Acute Coronary Syndrome, Influenza, Human, Takotsubo Cardiomyopathy.
- etiology : Chest Pain.
- immunology : Influenza A virus.
- pathogenicity : Influenza A virus.
- physiopathology : Acute Coronary Syndrome, Chest Pain, Influenza, Human, Takotsubo Cardiomyopathy.
- Aged, Coronary Angiography, Female, Humans, Treatment Outcome.
Abstract
We present a case of reverse takotsubo syndrome (rTS) in a 68-year-old woman who presented with acute chest pain and flu-like symptoms. She was found to have elevated troponin and abnormal ECG. Urgent coronary angiogram revealed non-obstructive mild coronary artery disease of the left anterior descending artery. Left ventriculography demonstrated hypokinesis of the left ventricular base with sparing of the mid-ventricle and apex. Nasal viral PCR was positive for Influenza A. The diagnosis was confirmed with repeat echocardiogram 2 weeks later revealing resolution of regional wall motion abnormalities. rTS is a type of TS, mimicking acute coronary syndrome. It is seen in younger patients and often occurs with intense emotional and physical stress. Though many triggers have been reported, rTS associated with influenza A has not been previously documented.
DOI: 10.1136/bcr-2018-226289
PubMed: 30567259
Affiliations:
Links toward previous steps (curation, corpus...)
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Le document en format XML
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<front><div type="abstract" xml:lang="en">We present a case of reverse takotsubo syndrome (rTS) in a 68-year-old woman who presented with acute chest pain and flu-like symptoms. She was found to have elevated troponin and abnormal ECG. Urgent coronary angiogram revealed non-obstructive mild coronary artery disease of the left anterior descending artery. Left ventriculography demonstrated hypokinesis of the left ventricular base with sparing of the mid-ventricle and apex. Nasal viral PCR was positive for Influenza A. The diagnosis was confirmed with repeat echocardiogram 2 weeks later revealing resolution of regional wall motion abnormalities. rTS is a type of TS, mimicking acute coronary syndrome. It is seen in younger patients and often occurs with intense emotional and physical stress. Though many triggers have been reported, rTS associated with influenza A has not been previously documented.</div>
</front>
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<name sortKey="Kobayashi, Takaaki" sort="Kobayashi, Takaaki" uniqKey="Kobayashi T" first="Takaaki" last="Kobayashi">Takaaki Kobayashi</name>
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