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Clinical Research in Cardiology

, Volume 103, Issue 9, pp 759–761 | Cite as

Takotsubo cardiomyopathy in complicated Pickering syndrome: endovascular therapy of an occluded renal artery

  • Mario Jularic
  • Janosch Cupa
  • Mark Rosenberg
  • Norbert Frey
  • Christoph Langer
Letter to the Editors

Sirs:

A 62-year-old female patient was admitted to our hospital presenting with severe dyspnea and chest pain; no vegetative symptoms. Her medical history revealed chronic renal failure (K/DOQI III) and left nephrectomy 18 years before following renal cell carcinoma and hypertensive nephropathy. Moreover, there was hypertensive heart disease with a slightly reduced left-ventricular (LV) function [external echo: LV ejection fraction (EF) 45–50 % and diastolic dysfunction grade I]. The patient had repeatedly been hospitalized because of acute heart failure following hypertensive crises. In this context, on a CT angiography performed 6 months earlier an ostial stenosis of the right renal artery (RAS) had been described and considered irrelevant by the formerly treating institution. Her medications included low-dose aspirin, bisoprolol (10 mg), aliskiren (150 mg), amlodipine (10 mg), doxazosine (8 mg), moxonidine (0.8 mg), torasemid (20 mg) and pantozol (40 mg).

Initial clinical...

Keywords

Renal Artery Aliskiren Urapidile Torasemid Takotsubo Cardiomyopathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Mario Jularic
    • 1
    • 2
  • Janosch Cupa
    • 1
  • Mark Rosenberg
    • 1
  • Norbert Frey
    • 1
  • Christoph Langer
    • 1
  1. 1.Klinik für Innere Medizin III (Kardiologie, Angiologie und Intensivmedizin)Universitätsklinikum Schleswig-Holstein, Campus Kiel, Christian-Albrechts- Universität KielKielGermany
  2. 2.Klinik für Kardiologie mit Schwerpunkt ElektrophysiologieUniversitäres Herzzentrum HamburgHamburgGermany

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