2015 Journal of cardiovascular medicine (Hagerstown, Md.)
* The causality quandary in a patient with stroke, Takotsubo syndrome and severe coronary artery disease.
- Takotsubo-like left ventricular dysfunction syndrome (TLVDS) and acute coronary syndrome have almost always the same clinical presentation and ECG findings. Both diseases may become a potential cardioembolic source to the cerebrovascular system. Stroke has been linked to TLVDS either as the trigger or as a complication. We report on a 67-year-old female patient who presented with an acute ischemic stroke confirmed by computed tomographic scan of the brain. She also had electrocardiographic features and laboratory findings suggestive of both acute myocardial infarction (AMI) and TLVDS. Coronary angiography revealed severe coronary artery stenoses but the coronary lesions did not have any of the features suggestive of an acute pathology. Echocardiography and left ventriculography showed a striking apical ballooning of the left ventricle, which resolved completely within 1 week, a clinical picture and course typical for TLVDS. There were no signs of left ventricular thrombus. A few burning questions arose from this case: what was the acute cardiac disease - TLVDS or AMI? Which disease came first - the stroke or the acute cardiac illness? An intricate cause-effect relationship is discussed; and finally, does an obstructive coronary artery disease rule out TLVDS?
=>研究(調査)結果
Overview of noun findings
The noun findings has 1 sense (no senses from tagged texts)
1. findings -- (a collection of tools and other articles used by an artisan to make jewelry or
clothing or shoes)
Overview of noun finding
The noun finding has 3 senses (first 3 from tagged texts)
1. (16) determination, finding -- (the act of determining the properties of something, usually by
research or calculation; "the determination of molecular structures")
2. (3) finding -- (the decision of a court on issues of fact or law)
3. (1) finding -- (something that is found; "the findings in the gastrointestinal tract indicate
that he died several hours after dinner"; "an area rich in archaeological findings")
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