Tako-tsubo Cardiomyopathy after Upper Gastrointestinal Tract Examination

Satoshi Kurisu, Ichiro Inoue, Takuji Kawagoe, Masaharu Ishihara, Yuji Shimatani, Takaki Hata, Yasuharu Nakama, Yasufumi Kijima, Eisuke Kagawa
2006 Internal medicine (Tokyo. 1992)  
F i g u r e 1 . T we l v e -l e a d e l e c t r o c a r d i o g r a m o n e h o u r a f t e r d o u b l e -c o n t r a s t u p p e r g a s t r o i n t e s t i n a l t r a c t e x a mi n a t i o n s h o we d S T -s e g me n t e l e v a t i o n i n l e a d s I I , I I I , a VF a n d V2 -6 . A 77-year-old male with appetite loss underwent double-contrast upper gastrointestinal tract examination. Although the study showed no gastrointestinal disease, the patient had chest oppressive sensation one
more » ... ive sensation one hour later. Twelve-lead electrocardiogram showed ST-segment elevation in leads II, III, aVF and V2-6 ( Fig. 1) . Emergency coronary angiography showed only a moderate atherosclerotic luminal narrowing in the mid right coronary artery. However, left ventriculography showed akinesia of the mid-to-distal portion of the left ventricular chamber, with hyperkinesia of the basal portion (Fig. 2) . Swallowed barium was also seen in the gastrointestinal tract. ST-segment elevation was resolved, and T wave became inverted 24 hours
doi:10.2169/internalmedicine.45.1803 pmid:16778347 fatcat:ivvervi5lfh4nkacvht7yeprea