Broken heart syndrome: a case report

Takotsubo cardiomyopathy, also called “broken heart” syndrome or apical ballooning syndrome, is a reversible cardiomyopathy characterized by left ventricular dysfunction and ballooning of the left ventricular apex on imaging during systole. It predominantly occurs in post-menopausal women and is commonly associated with emotional or physical stress. Patients commonly present with chest pain and electrocardiographic evidence of ST segment elevation or T-wave-mimicking acute coronary syndrome, but with an absence of angiographic evidence of obstructive coronary disease. The exact cause is unknown, but potential contributors include catecholamine excess and sympathetic nervous system hyperactivity. There is no consensus on pharmacological treatment of takotsubo cardiomyopathy. Based on the suspected pathophysiology of the disease, adrenergic blockade using beta-blocker therapy is employed. Near complete resolution of left ventricular wall motion dyskinesis occurs in the majority of takotsubo cardiomyopathy patients within a month. Although the prognosis is generally favorable, there are reports of complications during the acute phase, including cardiogenic shock, pulmonary edema, ventricular tachycardia, apical thrombus formation, and death. This review article will briefly discuss the epidemiology, etiology, clinical features, diagnostic evaluation, and treatment of this condition.

Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2012

This report describes a case of a seventy -year old woman with the special form of acute coronary syndrome (ACS) preceded by acute emotional stress. The coronarography revealed normal coronary arteries, however cardiac enzymes and catecholamines had increased values. Electrocardiogram indicated the changes characteristic of either acute coronary syndrome or myocarditis.

Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2011

Stress-induced cardiomyopathy or Takotsubo cardiomyopathy is a recently increasing diagnosed disease showed by transient apical or mid left ventricular dilation and dysfunction. This sign is similar to acute myocardial infarction but without significant coronary artery stenosis and intra coronary clots. On the other hand there are important and essential differences in their management. Consequently, our physicians should know about its pathophysiology, diagnosis and treatment.

Journal of Cardiology & Cardiovascular Therapy, 2017

European Journal of Internal Medicine, 2008

Journal of Cardiovascular Disease Research, 2016

Acute medicine, 2008

Transcribed in this document is the 1845 annual annuity payment roll for the Ottawa and Chippewa Indians of Michigan.

Artikel mata kuliah belajar dan pembelajaran, 2020

ABSTRAK Artikel ini bertujuan untuk mengetahui 1) perubahan belajar dan pembelajaran pada masa pandemi Covid-19, 2) problematika belajar dan pembelajaran daring pada masa pandemi Covid-19. Kemunculan covid-19 telah membawa perubahan pada berbagai bidang, salah satunya pada bidang pendidikan. Sekolah dan perguruan tinggi ditutup akibat kemunculan Covid-19. Pembelajaran daring merupakan pembelajaran yang memanfaatkan teknologi yang memunculkan berbagai jenis interaksi pembelajaran. Covid-19 berdampak pada perubahan Belajar dan pembelajaran yang biasanya pembelajaran dilakukan secara langsung atau tatap muka kini belajar dilakukan dari rumah melaui pembelajaran daring. Disisi lain, kesiapan dalam kegiatan belajar di rumah dengan pembelajaran daring memiliki problematika dari segi teknis maupun non teknis. ABSTRACT This article aims to find out 1) changes in learning and learning during the Covid-19 pandemic, 2) online learning and learning problems during the Covid-19 pandemic. The appearance of covid-19 has brought changes in various fields, one of which is in the field of education. Schools and colleges were closed due to the appearance of Covid-19. Online learning is learning that utilizes technology that gives rise to various types of learning interactions. Covid-19 has an impact on change. Learning and learning, which is usually learning done directly or face to face, is now learning done from home through online learning. On the other hand, readiness in learning activities at home with online learning has technical and non-technical problems

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