Published in:
01-04-2011 | Case Report
A case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy
Authors:
Soo Ryang Kim, Keiichi Nakashima, Sunao Nishiuchi, Susumu Imoto, Taisuke Nakajima, Kenji Ando, Keiji Mita, Katsumi Fukuda, Yeong Ho Lee, Yumi Otono, Yoshitake Hayashi
Published in:
Clinical Journal of Gastroenterology
|
Issue 2/2011
Login to get access
Abstract
We describe a case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy in a 66-year-old woman. Ten minutes after the upper and lower gastrointestinal endoscopic examinations, the patient lost consciousness, went into respiratory arrest, and became cyanotic; an electrocardiogram (ECG) showed ventricular fibrillation. Electrical defibrillation was applied three times resulting in the patient’s recovery. Subsequently, the ECG showed ST elevation in V2–V3; ultrasound cardiography showed a severely hyperkinetic base of the left ventricle, with the rest of the ventricle akinetic; and cardiac catheterization disclosed a normal coronary artery and normal contraction of the left ventricle.