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The Happening's

Thursday, August 12, 2010

?????????????????????????

Can you guess what this is on a patient presenting with:

Chest Pain

Elevated Troponins

Abnormal EKG

and Clean Coronary Arteries on Cath......

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7 comments:

  1. ~* Teresa *~August 14, 2010 at 3:23 PM

    is that a pace maker wire? it only plays for 1 second....after surgerys troponin levels can be elevated, usually after a CABG though... it doesn't look like myocarditis... I am guessing that since in the one second i don't see the right side functioning very well... pulmonary emboli :)

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  2. JessicaAugust 17, 2010 at 8:21 AM

    I know that it is only one second im trying to fix that... but no it is not a wire or a pulmonary emboli :) and the entire heart isn'f functioning well... hint hint... this pathology is reversible in a couple months provided that the individual survives the stress and there is apical ballooning and the LV looks like an octopus trap :) hint hint

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  3. JessicaAugust 17, 2010 at 8:36 AM

    The video is fixed so now it runs for 10 seconds :)

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  4. KimberlyAugust 18, 2010 at 9:12 PM

    broken heart syndrome :) I forgot the fancy name and I'm way too lazy to look it up

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  5. Ashley GAugust 19, 2010 at 2:38 PM

    What you’re talking about is called takotsuboas cardiomyopathy. Here at UCDMC I’ve seen two cases so far. Both were people in their 20s. Your image Jess does not look like what I’ve seen. The Doc's here diagnose it TC if the base is hyper-dynamic and the mid sections are dyskinetic and the apical sections are completely akinetic & also balloon out. I don’t know for sure how to diagnose it cause its a relatively new thing for cardiology but it cool you got video to load on here. It won’t let me.  Good to hear your doing good jess, take care.

    P.S... Is that just thick chordae in the LV with the contrast?

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  6. ~* Teresa *~August 23, 2010 at 8:26 PM

    yeah the chordae confused me... we had a takasubo lady here... i got in on it but her ballooning was WAY obvious ... my patient they thought was having a stess induced MI is what they originally called it and it cleared up in 2 months and she was 70!

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  7. ~* Teresa *~August 23, 2010 at 8:27 PM

    just played the vid ... not sure about the trap

    ReplyDelete

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