Atypical takostubo cardiomyopathy associated with nasal packing for paranasal sinus surgery

作者：Park Il Kwon; Sir Jung Ju^*; Jung Hye Jin; Jo So Young; Cho Wook Hyun; Choi Suk Koo

来源：European Journal of Echocardiography, 2010, 11(2): 186-188.

DOI：10.1093/ejechocard/jep174

• Stress-induced cardiomyopathy
• Takotsubo cardiomyopathy
• Nasal packing
• Sinus surgery
• Syncope

Takotsubo cardiomyopathy (TC) is characterized by reversible left ventricular (LV) apical ballooning and no significant coronary artery stenosis. New variants of TC with localized wall motion abnormality or inversed pattern with hyperdynamic apex have been reported. We present the case of a 24-year-old female with atypical presentation of TC occurring in the setting of paranasal sinus surgery under local anaesthesia with post-surgical nasal packing. She did not demonstrated ST-segment elevation on electrocardiogram, but transient moderate LV systolic dysfunction and localized wall motion abnormality affecting basal to mid-ventricular anterior and anteroseptal wall. She rapidly and completely recovered without sequelae.

• 出版日期2010-3