Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979737542> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W2979737542 endingPage "S701" @default.
- W2979737542 startingPage "S701" @default.
- W2979737542 abstract "INTRODUCTION: Takotsubo cardiomyopathy or stress cardiomyopathy (TCM) is a transient reversible form of cardiomyopathy. It is characterized by reduced ejection fraction and signs of myocardial ischemia and often precipitated by acute emotional or physical stressors. We present a rare case of TCM in a postmenopausal woman triggered by acute alcoholic pancreatitis. CASE DESCRIPTION/METHODS: A 57-year-old female with a history of alcohol abuse and diabetes mellitus presented to the emergency department with a two-day history of severe diffuse abdominal pain with radiation to the back. Associated symptoms included nausea and vomiting. Vital signs were within normal limits. Physical examination was significant for a mildly tender abdomen. Laboratory findings revealed leukocytosis of 14.6 and lipase of 882. All other chemistry and complete blood count labs were within normal limits. CT abdomen without contrast revealed peripancreatic fat stranding suggestive of acute pancreatitis. The patient was admitted for IV fluid resuscitation and pain management. On day 2 of admission, the patient became dyspneic and desaturated to 82% on room air. Stat chest x-ray showed flash pulmonary edema. Bedside ultrasound revealed a dilated IVC. Troponin (0.97) and BNP (1627) levels were elevated, concerning for acute heart failure exacerbation. EKG revealed no acute ischemic changes. The patient was aggressively diuresised with significant improvement in respiratory status. Transthoracic echocardiography (TTE) revealed a left ventricular ejection fraction (LVEF) of 40% with basal segment hyperkinesis but apical akinesis consistent with stress-induced cardiomyopathy. Follow up coronary angiography revealed normal coronary vessels. The patient was started on guideline-based heart failure therapy and was discharged to home in stable condition. A repeat TTE obtained 4 months later revealed unchanged LVEF and persistent apical akinesis in the setting of persistent alcohol use. Guideline directed therapy was continued and the patient was counseled on alcohol cessation. DISCUSSION: Acute pancreatitis induced TCM is rare. Our case further confirms the heterogenicity of TCM, including non-classical stressors such as alcohol abuse which may delay myocardial recovery." @default.
- W2979737542 created "2019-10-18" @default.
- W2979737542 creator A5000451172 @default.
- W2979737542 creator A5039755774 @default.
- W2979737542 creator A5060218760 @default.
- W2979737542 creator A5062544014 @default.
- W2979737542 creator A5074134721 @default.
- W2979737542 creator A5081999721 @default.
- W2979737542 date "2019-10-01" @default.
- W2979737542 modified "2023-09-23" @default.
- W2979737542 title "1259 From Pancreatitis to Takotsubo: A Rare Complication of Acute Pancreatitis" @default.
- W2979737542 doi "https://doi.org/10.14309/01.ajg.0000594564.67480.b4" @default.
- W2979737542 hasPublicationYear "2019" @default.
- W2979737542 type Work @default.
- W2979737542 sameAs 2979737542 @default.
- W2979737542 citedByCount "0" @default.
- W2979737542 crossrefType "journal-article" @default.
- W2979737542 hasAuthorship W2979737542A5000451172 @default.
- W2979737542 hasAuthorship W2979737542A5039755774 @default.
- W2979737542 hasAuthorship W2979737542A5060218760 @default.
- W2979737542 hasAuthorship W2979737542A5062544014 @default.
- W2979737542 hasAuthorship W2979737542A5074134721 @default.
- W2979737542 hasAuthorship W2979737542A5081999721 @default.
- W2979737542 hasConcept C126322002 @default.
- W2979737542 hasConcept C164705383 @default.
- W2979737542 hasConcept C2775967933 @default.
- W2979737542 hasConcept C2776670229 @default.
- W2979737542 hasConcept C2777698277 @default.
- W2979737542 hasConcept C2778198053 @default.
- W2979737542 hasConcept C2778704086 @default.
- W2979737542 hasConcept C2778797674 @default.
- W2979737542 hasConcept C2780852908 @default.
- W2979737542 hasConcept C2780955771 @default.
- W2979737542 hasConcept C2991960855 @default.
- W2979737542 hasConcept C500558357 @default.
- W2979737542 hasConcept C71924100 @default.
- W2979737542 hasConcept C78085059 @default.
- W2979737542 hasConceptScore W2979737542C126322002 @default.
- W2979737542 hasConceptScore W2979737542C164705383 @default.
- W2979737542 hasConceptScore W2979737542C2775967933 @default.
- W2979737542 hasConceptScore W2979737542C2776670229 @default.
- W2979737542 hasConceptScore W2979737542C2777698277 @default.
- W2979737542 hasConceptScore W2979737542C2778198053 @default.
- W2979737542 hasConceptScore W2979737542C2778704086 @default.
- W2979737542 hasConceptScore W2979737542C2778797674 @default.
- W2979737542 hasConceptScore W2979737542C2780852908 @default.
- W2979737542 hasConceptScore W2979737542C2780955771 @default.
- W2979737542 hasConceptScore W2979737542C2991960855 @default.
- W2979737542 hasConceptScore W2979737542C500558357 @default.
- W2979737542 hasConceptScore W2979737542C71924100 @default.
- W2979737542 hasConceptScore W2979737542C78085059 @default.
- W2979737542 hasIssue "1" @default.
- W2979737542 hasLocation W29797375421 @default.
- W2979737542 hasOpenAccess W2979737542 @default.
- W2979737542 hasPrimaryLocation W29797375421 @default.
- W2979737542 hasRelatedWork W1965152752 @default.
- W2979737542 hasRelatedWork W2003369163 @default.
- W2979737542 hasRelatedWork W2029471473 @default.
- W2979737542 hasRelatedWork W2355594703 @default.
- W2979737542 hasRelatedWork W2740188214 @default.
- W2979737542 hasRelatedWork W3013754484 @default.
- W2979737542 hasRelatedWork W3033076790 @default.
- W2979737542 hasRelatedWork W3172836017 @default.
- W2979737542 hasRelatedWork W4224300820 @default.
- W2979737542 hasRelatedWork W4378978163 @default.
- W2979737542 hasVolume "114" @default.
- W2979737542 isParatext "false" @default.
- W2979737542 isRetracted "false" @default.
- W2979737542 magId "2979737542" @default.
- W2979737542 workType "article" @default.