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Tako-Tsubo kardiyomiyopatisini taklit eden bir akut miyokard infarktüsü olgusu: kardiyak manyetik rezonans görüntülemenin rolü

A case of acute myocardial infarction mimicking Tako-Tsubo cardiomyopathy: the role of cardiac magnetic resonance imaging

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Abstract (2. Language): 
Tako-Tsubo cardiomyopathy is a unique reversible cardiomyopathy which is frequently precipitated by a stressful event and has a clinical presentation that is indistinguishable from a myocardial infarction. Clinical presentation of most patients including ECG and symptoms are equal to acute coronary syndromes. Cardiac magnetic resonance imaging may provide insight into potential pathophysiological mechanisms in Tako-Tsubo cardiomyopathy by assessment of myocardial viability. In this paper, we report a 49-year-old woman presenting with acute anterior myocardial infarction in whom apical ballooning was found and differential diagnosis was achieved by cardiac magnetic resonance imaging.
Abstract (Original Language): 
Tako-Tsubo kardiyomiyopatisi, sıklıkla stresli bir olay ile başlayan, geri dö- nüşlü, nadir bir kardiyomiyopatidir ve miyokard infarktüsünden ayırt edilmesi zor olan bir kliniğe sahip olabilir. Birçok hastanın elektrokardiyografi ve semptomları içeren kliniği, akut koroner sendromlar ile benzerdir. Kardiyak manyetik rezonans görüntüleme, miyokardiyal canlılığı belirleyerek Tako-Tsubo kardiyomiyopatisinde potansiyel patofizyolojik mekanizmaları anlamamızı sağlar. Bu yayında, apikal balonlaşma tespit edilen ve kardiyak manyetik rezonans görüntüleme ile ayırıcı tanıya gidilen, akut anteriyor miyokard infarktüsü kliniği olan 49 yaşında bayan bir hasta sunulmuştur.
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REFERENCES

References: 

1. Prasad A, Lerman A, Rihal CS. Apical ballooning
syndrome (Tako-Tsubo or stress cardiomyopathy): a
mimic of acute myocardial infarction. Am Heart J 2008;
155: 408-417.
2. Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and
reversible cardiomyopathy provoked by stress in
women from the United States. Circulation 2005; 111:
472-479.
3. Akashi YJ, Goldstein DS, Barbaro G, Ueyama T. Takotsubo
cardiomyopathy: a new form of acute, reversible heart
failure. Circulation 2008; 118: 2754-2762.
4. Chao T, Lindsay J, Collins S, et al. Can acute occlusion
of the left anterior descending coronary artery produce
a typical «takotsubo» left ventricular contraction
pattern? Am J Cardiol 2009; 104: 202-204.
5. Bybee KA, Motiei A, Syed IS, et al. Electrocardiography
cannot reliably differentiate transient left ventricular
apical ballooning syndrome from anterior ST-segment
elevation myocardial infarction. J Electrocardiol 2007;
40: 38e1-6.
6. Syed IS, Prasad A, Oh JK, et al. Apical ballooning
syndrome or aborted acute myocardial infarction?
Insights from cardiovascular magnetic resonance
imaging. Int J Cardiovasc Imaging 2008; 24: 875-882.

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