Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy
Tako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiograph...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/292658 |
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| author | Veronica Fibbi Piercarlo Ballo Marco Nannini Lorenzo Consoli Tania Chechi Andrea Bribani Francesca Fiorentino Leandro Chiodi Alfredo Zuppiroli |
| author_facet | Veronica Fibbi Piercarlo Ballo Marco Nannini Lorenzo Consoli Tania Chechi Andrea Bribani Francesca Fiorentino Leandro Chiodi Alfredo Zuppiroli |
| author_sort | Veronica Fibbi |
| collection | DOAJ |
| description | Tako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiographic evidence of akinesia of the left ventricular mid-apical segments. Atypical echocardiographic patterns of TTC have recently been described, often triggered by emotional stressors, rather than physical. In this report, we describe a case of atypical TTC triggered by an unusual stressor (recurrent nightmare) in a 45-year-old woman, with peculiar clinical presentation and evolution characterized by persistent loss of consciousness, neurological deterioration, absence of typical symptoms of TTC, and features suggestive of a hysterical crisis. |
| format | Article |
| id | doaj-art-c4fd989eb4084e768ead21a05f445e9d |
| institution | DOAJ |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-c4fd989eb4084e768ead21a05f445e9d2025-08-20T03:23:03ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/292658292658Nightmare-Induced Atypical Midventricular Tako-Tsubo CardiomyopathyVeronica Fibbi0Piercarlo Ballo1Marco Nannini2Lorenzo Consoli3Tania Chechi4Andrea Bribani5Francesca Fiorentino6Leandro Chiodi7Alfredo Zuppiroli8Cardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyCardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyCardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyCardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyCardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyEmergency Department, Serristori Hospital, Figline Valdarno, 50063 Florence, ItalyEmergency Department, S. Maria Annunziata Hospital, 50012 Florence, ItalyCardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyCardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, ItalyTako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiographic evidence of akinesia of the left ventricular mid-apical segments. Atypical echocardiographic patterns of TTC have recently been described, often triggered by emotional stressors, rather than physical. In this report, we describe a case of atypical TTC triggered by an unusual stressor (recurrent nightmare) in a 45-year-old woman, with peculiar clinical presentation and evolution characterized by persistent loss of consciousness, neurological deterioration, absence of typical symptoms of TTC, and features suggestive of a hysterical crisis.http://dx.doi.org/10.1155/2015/292658 |
| spellingShingle | Veronica Fibbi Piercarlo Ballo Marco Nannini Lorenzo Consoli Tania Chechi Andrea Bribani Francesca Fiorentino Leandro Chiodi Alfredo Zuppiroli Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy Case Reports in Medicine |
| title | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
| title_full | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
| title_fullStr | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
| title_full_unstemmed | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
| title_short | Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy |
| title_sort | nightmare induced atypical midventricular tako tsubo cardiomyopathy |
| url | http://dx.doi.org/10.1155/2015/292658 |
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