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A Broken Heart

1998; Lippincott Williams & Wilkins; Volume: 98; Issue: 13 Linguagem: Inglês

10.1161/01.cir.98.13.1349

1524-4539

Haim Z. Brandspiegel, Roger A. Marinchak, Seth J. Rials, Peter R. Kowey,

Cardiac Structural Anomalies and Repair

HomeCirculationVol. 98, No. 13A Broken Heart Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyRedditDiggEmail Jump toFree AccessOtherPDF/EPUBA Broken Heart Haim Z. Brandspiegel, Roger A. Marinchak, Seth J. Rials, and Peter R. Kowey Haim Z. BrandspiegelHaim Z. Brandspiegel From the Division of Cardiovascular Diseases, Lankenau Hospital and Medical Research Center, Wynnewood, Pa, and Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pa. , Roger A. MarinchakRoger A. Marinchak From the Division of Cardiovascular Diseases, Lankenau Hospital and Medical Research Center, Wynnewood, Pa, and Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pa. , Seth J. RialsSeth J. Rials From the Division of Cardiovascular Diseases, Lankenau Hospital and Medical Research Center, Wynnewood, Pa, and Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pa. , and Peter R. KoweyPeter R. Kowey From the Division of Cardiovascular Diseases, Lankenau Hospital and Medical Research Center, Wynnewood, Pa, and Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pa. Originally published29 Sep 1998https://doi.org/10.1161/01.CIR.98.13.1349Circulation. 1998;98:1349A 70-year-old woman with no past cardiac history was admitted for near collapse and chest discomfort that occurred when she was informed that her husband of 45 years had died in our hospital of congestive heart failure and refractory ventricular arrhythmias. The ECG revealed minor anterior ST-segment elevations and inferolateral ST-segment depressions, which resolved after intravenous nitroglycerin was administered. Cardiac enzymes were minimally but definitely elevated.The patient underwent cardiac catheterization, which revealed normal coronary arteries. The left ventriculogram showed anterolateral akinesis and apical hypokinesis, as depicted in the Figure. The patient was discharged on aspirin and amlodipine. An echocardiogram repeated 3 months later was normal. She has no memory of the entire hospitalization but continues to grieve for her husband.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1–267, Houston, TX 77030.Download figureDownload PowerPoint Figure 1. Left ventriculogram during diastole (A) and systole (B) showing anterolateral akinesis and apical hypokinesis.FootnotesCorrespondence to Peter R. Kowey, MD, Lankenau Medical Office Building East, 100 Lancaster Ave, Ste 556, Wynnewood, PA 19096. Previous Back to top Next FiguresReferencesRelatedDetailsCited ByUribarri A, Núñez‐Gil I, Conty D, Vedia O, Almendro‐Delia M, Duran Cambra A, Martin‐Garcia A, Barrionuevo‐Sánchez M, Martínez‐Sellés M, Raposeiras‐Roubín S, Guillén M, Garcia Acuña J, Matute‐Blanco L, Linares Vicente J, Sánchez Grande Flecha A, Andrés M, Pérez‐Castellanos A and Lopez‐Pais J (2019) Short‐ and Long‐Term Prognosis of Patients With Takotsubo Syndrome Based on Different Triggers: Importance of the Physical Nature, Journal of the American Heart Association, 8:24, Online publication date: 17-Dec-2019.Gupta S, Goyal P, Idrees S, Aggarwal S, Bajaj D and Mattana J (2018) Association of Endocrine Conditions With Takotsubo Cardiomyopathy: A Comprehensive Review, Journal of the American Heart Association, 7:19, Online publication date: 2-Oct-2018.Patton K and Glymour M (2013) In Anticipation of Grief, Circulation, 128:25, (2725-2728), Online publication date: 1-Dec-2013. September 29, 1998Vol 98, Issue 13Article InformationMetrics Download: 204 Copyright © 1998 by American Heart Associationhttps://doi.org/10.1161/01.CIR.98.13.1349 Originally publishedSeptember 29, 1998 PDF download