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Wespenstich, Adrenalingabe und akuter Thoraxschmerz: ein ungewöhnlicher Fall von stressinduzierter (Tako-Tsubo) Kardiomyopathie

Wasp Sting, Adrenaline Injection and Acute Thoracic Pain: an Un usual Case of Stress-Induced (Tako-Tsubo) Cardiomyopathy

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Zusammenfassung

Die stressinduzierte, temporäre („Tako-Tsubo“) Kardiomyopathie ähnelt in ihrem Erscheinungsbild dem akuten Koronarsyndrom und stellt vor allem bei postmenopausalen Frauen eine wichtige Differentialdiagnose dar. Dieser Fallbericht beschreibt und diskutiert das diagnostische und therapeutische Vorgehen bei einer Patientin, die nach Wespenstich und Adrenalingabe eine Tako-Tsubo-Kardiomyopathie entwickelt hat.

Abstract

Tako-tsubo cardiomyopathy is characterized by a transient and reversible left ventricular dysfunction and shows clinical similarities with the acute coronary syndrome. Here, the authors report and discuss a case of a patient with tako-tsubo cardiomyopathy triggered by adrenaline injection after a wasp sting.

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Authors and Affiliations

  1. Medizinische Klinik 2, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany

    Gesa Geppert,  Peter W. Radke, Volkhard Kurowski & Heribert Schunkert

  2. Klinik für Radiologie und Nuklearmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany

    Peter Hunold

  3. Medizinische Klinik 2, Kardiologie, Angiologie, Internistische Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany

    Peter W. Radke

Authors
  1. Gesa Geppert
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  2. Peter W. Radke
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  3. Volkhard Kurowski
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  4. Peter Hunold
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  5. Heribert Schunkert
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Corresponding author

Correspondence to Peter W. Radke.

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Geppert, G., Radke, P.W., Kurowski, V. et al. Wespenstich, Adrenalingabe und akuter Thoraxschmerz: ein ungewöhnlicher Fall von stressinduzierter (Tako-Tsubo) Kardiomyopathie. Med Klin 105, 246–248 (2010). https://doi.org/10.1007/s00063-010-1032-8

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  • DOI: https://doi.org/10.1007/s00063-010-1032-8

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