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- W2064273407 abstract "Tako-tsubo kardiomyopatie je onemocnÄnĂ srdce, kterĂŠ imituje akutnĂ infarkt myokardu. TypickĂ˝m nĂĄlezem je hypokineze, akineze aĹž dyskineze hrotovĂ˝ch a stĹednĂch segmentĹŻ levĂŠ komory. KlinickĂ˝ obraz se vĹĄak od tohoto pĹŻvodnĂho popisu mĹŻĹže liĹĄit.V naĹĄem ÄlĂĄnku popisujeme kasuistiku Ĺženy s tako-tsubo kardiomyopatiĂ (TTK), kterĂĄ byla do nemocnice pĹijata pro bolest na hrudi po stresujĂcĂ udĂĄlosti a mÄla pĹi koronarografii zcela hladkĂŠ koronĂĄrnĂ tepny a jen lehce zvýťenĂ˝ troponin I.Elektrokardiogram ukazoval nĂĄlez odpovĂdajĂcĂ non-Q infarktu myokardu spodnĂ stÄny.Ventrikulografie, echokardiografie a magnetickĂĄ rezonance srdce prokazovaly poruchu kontraktility bazĂĄlnĂ ÄĂĄsti spodnĂ stÄny a dobrou celkovou ejekÄnĂ frakci. BÄhem pÄti tĂ˝dnĹŻ po zaÄĂĄtku pĹĂznakĹŻ doĹĄlo k ĂşplnĂŠ ĂşpravÄ stavu.Tento typ poĹĄkozenĂ levĂŠ komory nenĂ typickĂ˝ pro TTK. U naĹĄĂ pacientky byly postiĹženy bazĂĄlnĂ segmenty levĂŠ komory, ne hrot, jak je to u TTK obvyklĂŠ. ZmĂnÄnĂ˝ nĂĄlez odpovĂdĂĄ vzĂĄcnĂŠ invertovanĂŠ formÄ TTK. DalĹĄĂm atypickĂ˝m nĂĄlezem bylo segmentĂĄrnĂ postiĹženĂ, kterĂŠ navĂc zasahovalo spodnĂ stÄnu. DanĂ˝ morfologickĂ˝ nĂĄlez nebyl podle naĹĄich znalostĂ dosud v literatuĹe popsĂĄn.V tomto ÄlĂĄnku jsou struÄnÄ shrnuty patofyziologie, epidemiologie a klinickĂ˝ vĂ˝znam tĂŠto jednotky." @default.
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- W2064273407 date "2014-10-01" @default.
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- W2064273407 title "Uncommon type of tako-tsubo cardiomyopathy - Case report and current view" @default.
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