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An Atypical Case of "Takotsubo cardiomyopathy" during Alcohol Withdrawal: Abnormality in the Transient Left Ventricular Wall Motion and a Remarkable Elevation in the ST Segment

2004; The Japanese Society of Internal Medicine; Volume: 43; Issue: 4 Linguagem: Inglês

10.2169/internalmedicine.43.300

1349-7235

Kengo Suzuki, Naohiko Osada, Yoshihiro J. AKASI, Norihiro Suzuki, Masayoshi Sakakibara, Fumihiko Miyake, Futaba Maki, Youichi Takahashi,

Cardiac Imaging and Diagnostics

A 64-year-old man was admitted due to hypokalemia-related myopathy. He was heavy drinker. He felt the stress of alcohol withdrawal during his hospitalization. The patient suffered a cardiopulmonary arrest lasting approximately 5 minutes on the fifth hospital day. One day later, ST-segment elevation was observed in leads I, aVL, and V2-6. Emergent cardiac catheterization was performed for suspicion of acute myocardial infarction. Normal coronary arteries with anterior akinesis of the left ventricle were revealed during the procedure. The present case may be an atypical form of "Takotsubo cardiomyopathy" in which the left ventricular contraction is due to focal anterior wall motion abnormalities.