급성 심근경색으로 오인된 외상성 경막하출혈 후 발생한 Tako-tsubo syndrome 1례 = Tako-tsubo Syndrome after Acute Traumatic Subdural Hematoma Mimicking Acute ST Elevation Myocardial Infarction

다국어 초록 (Multilingual Abstract)

Electrocardiographic changes frequently occur after severe
physical or emotional stress. Such changes can mimic acute
ST-segment elevation myocardial infarction with elevated
serum cardiac-specific markers (CK-MB, Troponin I), segmental
wall motion abnormalities, and myocardial dysfunction.
Several reports, however, have found that coronary angiography
revealed no significant stenosis. We present a 70-yearold
female with a traumatic subdural hematoma testing positive
for cardiac enzymes, and ECG changes suggestive of
acute ST-segment elevation myocardial infarction. Such a
case, however, fits the diagnostic parameters of Tako-tsubo
cardiomyopathy, or Tako-tsubo syndrome; even though its etiology,
pathophysiology, diagnosis, and treatment remain
uncertain. Tako-tsubo syndrome is characterized by a distinctive
form of systolic dysfunction that predominantly affects the
distal LV chamber, but a favorable outcome with appropriate
medical therapy is expected. Because of its unusual nature
and favorable prognosis, it is clear that Tako-tsubo syndrome
is an important affliction that should be recognized by any
emergency department.

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