FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3000257723> ?p ?o ?g. }

• W3000257723 abstract "Abstract Background Takotsubo Cardiomyopathy (TCM) is characterized by left ventricular regional wall motion abnormalities, classically described as apical ballooning (atypical features such as midventricular, basal, or focal wall motion abnormalities also have been described) and triggered by emotional or physical stress. In this case, TCM was triggered by non-emotional stress, and eventually an unusual definite diagnosis was ascertained based on pathological specimen. Case report a 63-year-old woman presented to the emergency room complaining of 5 days of epigastric pain, nausea and emesis followed by chest tightness, dyspnea and diaphoresis. Physical examination was noticeable for abdominal pain with positive Murphy´s sign. ECG showed normal sinus rhythm, with T-wave inversion in DIII and aVF, and elevated troponin I. She also had leukocytosis and neutrophilia with normal liver function tests. Abdominal ultrasound showed a distended gallbladder with gallstones, without definitive evidence of cholecystitis. Accordingly, she was admitted to the Coronary Care Unit with suspected Non-ST elevation myocardial infarction. Trans-thoracic echocardiogram (TTE) showed akinesia of all mid left ventricular segments with moderate systolic dysfunction -LVEF: 40%- (Figure 1A) suspicious for atypical TCM without a clear and identifiable emotional stress. Coronary angiography was negative for coronary stenosis and cardiac magnetic resonance (CMR) showed mid anterior and anterolateral segments dyskinesia, as well as mid septal, inferior and inferolateral segments akinesia (Figures 1B), with myocardial edema and no late gadolinium enhancement (Figure 1C), findings suggestive of TCM. Concomitant abdominal MRI demonstrated gallbladder distention, wall thickeningandedema, gallstones and peri-vesicular fat edema (Figure 1D). Consequently, an infrequent type 2 (mid-ventricular) TCM, triggered by abdominal pain and inflammatory response due to acute cholecystitis, was diagnosed. Surgery was differed until full recovery of left ventricular function. One month later, after a full course of antibiotics and a new TTE showing no regional wall motion abnormalities (Figure 1E), a cholecystectomy was performed. Surprisingly, pathology revealed acute on chronic cholecystitis with eosinophilic infiltration, findings compatible with subacute cholecystitis (surgery performed 4 weeks after onset of symptoms). Currently, the patient is followed by Gastro-enterology for additional work-up. Conclusion We highlight the importance of multimodality imaging during diagnostic approach of atypical TCM. In this case, TTE findings in addition to a normal coronary angiogram, resulted in clinical suspicion of mid-ventricular TCM (present in 15% of cases) which was confirmed by CMR during the index event, followed by a normal TTE 4 weeks later. Cholecystitis is one of the multiple physical stressors, in addition to emotional triggers, causing TCM. Abstract P1497 Figure." @default.
• W3000257723 created "2020-01-23" @default.
• W3000257723 creator A5003328138 @default.
• W3000257723 creator A5004640113 @default.
• W3000257723 creator A5005986301 @default.
• W3000257723 creator A5008890765 @default.
• W3000257723 creator A5047410376 @default.
• W3000257723 creator A5063037956 @default.
• W3000257723 creator A5071071402 @default.
• W3000257723 date "2020-01-01" @default.
• W3000257723 modified "2023-09-27" @default.
• W3000257723 title "P1497 Atypical variant of takotsubo cardiomyopathy due to an unusual non-emotional trigger" @default.
• W3000257723 doi "https://doi.org/10.1093/ehjci/jez319.921" @default.
• W3000257723 hasPublicationYear "2020" @default.
• W3000257723 type Work @default.
• W3000257723 sameAs 3000257723 @default.
• W3000257723 citedByCount "0" @default.
• W3000257723 crossrefType "journal-article" @default.
• W3000257723 hasAuthorship W3000257723A5003328138 @default.
• W3000257723 hasAuthorship W3000257723A5004640113 @default.
• W3000257723 hasAuthorship W3000257723A5005986301 @default.
• W3000257723 hasAuthorship W3000257723A5008890765 @default.
• W3000257723 hasAuthorship W3000257723A5047410376 @default.
• W3000257723 hasAuthorship W3000257723A5063037956 @default.
• W3000257723 hasAuthorship W3000257723A5071071402 @default.
• W3000257723 hasBestOaLocation W30002577231 @default.
• W3000257723 hasConcept C126322002 @default.
• W3000257723 hasConcept C126838900 @default.
• W3000257723 hasConcept C164705383 @default.
• W3000257723 hasConcept C2777682441 @default.
• W3000257723 hasConcept C2778198053 @default.
• W3000257723 hasConcept C2778704086 @default.
• W3000257723 hasConcept C2778797674 @default.
• W3000257723 hasConcept C2780852908 @default.
• W3000257723 hasConcept C2991960855 @default.
• W3000257723 hasConcept C500558357 @default.
• W3000257723 hasConcept C71924100 @default.
• W3000257723 hasConcept C78085059 @default.
• W3000257723 hasConceptScore W3000257723C126322002 @default.
• W3000257723 hasConceptScore W3000257723C126838900 @default.
• W3000257723 hasConceptScore W3000257723C164705383 @default.
• W3000257723 hasConceptScore W3000257723C2777682441 @default.
• W3000257723 hasConceptScore W3000257723C2778198053 @default.
• W3000257723 hasConceptScore W3000257723C2778704086 @default.
• W3000257723 hasConceptScore W3000257723C2778797674 @default.
• W3000257723 hasConceptScore W3000257723C2780852908 @default.
• W3000257723 hasConceptScore W3000257723C2991960855 @default.
• W3000257723 hasConceptScore W3000257723C500558357 @default.
• W3000257723 hasConceptScore W3000257723C71924100 @default.
• W3000257723 hasConceptScore W3000257723C78085059 @default.
• W3000257723 hasLocation W30002577231 @default.
• W3000257723 hasOpenAccess W3000257723 @default.
• W3000257723 hasPrimaryLocation W30002577231 @default.
• W3000257723 hasRelatedWork W14160602 @default.
• W3000257723 hasRelatedWork W15250634 @default.
• W3000257723 hasRelatedWork W15305621 @default.
• W3000257723 hasRelatedWork W15356466 @default.
• W3000257723 hasRelatedWork W15863955 @default.
• W3000257723 hasRelatedWork W18336157 @default.
• W3000257723 hasRelatedWork W5450118 @default.
• W3000257723 hasRelatedWork W5585982 @default.
• W3000257723 hasRelatedWork W6402945 @default.
• W3000257723 hasRelatedWork W8177438 @default.
• W3000257723 isParatext "false" @default.
• W3000257723 isRetracted "false" @default.
• W3000257723 magId "3000257723" @default.
• W3000257723 workType "article" @default.