文章基本信息

标题：Takotsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: A case report
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作者：Winnie Chebet Tubey ; Dorothy Ndunge Kyalo ; Angeline Mulwa 等
期刊名称：Vojnosanitetski pregled
印刷版ISSN：0042-8450
出版年度：2019
卷号：76
期号：10
页码：1087-1093
DOI：10.2298/VSP170705179M
出版社：Military Medical Academy, INI
摘要：Introduction. Subarachnoid haemorrhage (SAH) can be followed by cardiac abnormalities. We describe a patient with Takotsubo cardiomyopathy and neurogenic pulmonary edema (NPE) after aneurysmal SAH. Case report. A previously healthy, postmenopausal woman, suffered from aneurysmal SAH with consequent hydrocephalus. After external ventricular drainage, craniotomy and clipping of the posterior inferior cerebellar artery aneurysm, the patient developed acute heart failure and NPE. Transthoracic echocardiogram showed the left ventricular apical ballooning and hypercontractile basal segments. On chest radiography, bilateral pulmonary infiltrates were seen. Seventeen days after the SAH attack, the patient was discharged from hospital. Postponed coronary angiography revealed no signs of coronary artery disease. Conclusion. This case and review of the relevant literature suggest that Takotsubo cardiomyopathy and neurogenic pulmonary edema are not uncommon after aneurysmal SAH.
关键词：coronary angiography; diagnosis; echocardiography; pulmonary edema; subarachnoid hemorrhage; takotsubo cardiomiopathy; ventricular function; left