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.
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Acknowledgments
We are indebted to Dr. K. Kim and Dr. K. Shiratori (Department of Cardiology, Kobe City Medical Center General Hospital) for provision of figures about coronary angiography and valuable advice regarding cardiology and to Y. Kawamura for assistance in the preparation of the manuscript.
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Kim, S.R., Nakashima, K., Nishiuchi, S. et al. A case of takotsubo cardiomyopathy with ventricular fibrillation after gastroenterological endoscopy. Clin J Gastroenterol 4, 73–78 (2011). https://doi.org/10.1007/s12328-010-0201-x
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DOI: https://doi.org/10.1007/s12328-010-0201-x