Apical Ballooning Syndrome Associated With Isolated Severe Hyponatremia: Case Report and Suggested Pathophysiology

被引：6

作者：

Sagiv, Ofer ^{[1
]}

Vukelic, Sasa ^{[2
]}

Czak, Steve ^{[2
]}

Messineo, Frank ^{[2
]}

Coplan, Neil L. ^{[2
]}

机构：

[1] Univ Connecticut, Ctr Hlth, Pat & Jim Calhoun Cardiol Ctr, Farmington, CT 06030 USA

[2] Lenox Hill Hosp, Dept Cardiovasc Med, New York, NY 10021 USA

来源：

REVIEWS IN CARDIOVASCULAR MEDICINE | 2012年 / 13卷 / 04期

关键词：

Takotsubo cardiomyopathy; Apical ballooning syndrome; Broken heart syndrome; Hyponatremia; Mechanism; TAKO-TSUBO CARDIOMYOPATHY; TAKOTSUBO CARDIOMYOPATHY; AMPULLA CARDIOMYOPATHY; TRANSIENT; FEATURES;

D O I：

10.3909/ricm0647

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 82-year-old woman who presented to her primary care physician for preoperative evaluation was incidentally found to have severe hyponatremia (sodium = 118 mmol/L). The patient was then admitted for workup and treatment of hyponatremia. On day 2 of the admission, the patient was found to have new T-wave inversions on a telemetry monitor. Further workup, including an electrocardiogram, cardiac markers, echocardiogram, and a cardiac catheterization were consistent with the diagnosis of apical ballooning syndrome (ABS). Mechanisms of how severe hyponatremia may lead to ABS are discussed as well as a possible approach to the management of severe hyponatremia in postmenopausal women.

引用

页码：E198 / E202

页数：5

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