Takotsubo Cardiomyopathy With Marked ST-Segment Elevation and Electrical Alternans Complicated With Hyperglycemic Hyperosmolar State

This is the first report of a case of Takotsubo cardiomyopathy with a hyperglycemic hyperosmolar state (HHS). This case presented with marked ST-segment elevation and electrical alternans, uncommon findings in Takotsubo cardiomyopathy. We believe that hyperosmolarity-induced myocardial dehydration a...

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Veröffentlicht in:International Heart Journal 2008, Vol.49(5), pp.629-635
Hauptverfasser: Oe, Kotaro, Mori, Kiyoo, Otsuji, Michio, Konno, Tetsuo, Fujino, Noboru, Yamagishi, Masakazu
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Sprache:eng
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Zusammenfassung:This is the first report of a case of Takotsubo cardiomyopathy with a hyperglycemic hyperosmolar state (HHS). This case presented with marked ST-segment elevation and electrical alternans, uncommon findings in Takotsubo cardiomyopathy. We believe that hyperosmolarity-induced myocardial dehydration and consequent increase in intracellular calcium concentration may be the mechanism of Takotsubo cardiomyopathy and electrical alternans in HHS.
ISSN:1349-2365
1349-3299
DOI:10.1536/ihj.49.629