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SM ISO690:2012 LINGA, Danu, GRIB, Andrei, CRIGAN, Ana, GÎRBU, Lucia, FĂRÂMĂ, Catălina, BELOUS, Mihaela. Cardiomiopatia Takotsubo – modificări electrocardiografice. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 233. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 233-233 | ||||||
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Background. Takotsubo cardiomyopathy (CMP) or „broken heart” syndrome is characterized by clinical changes and reversible electrocardiographic signs similar to acute myocardial infarction with normal angiographic arteries in postmenopausal women Objective of the study. Evaluation of electrocardiographic changes in Takotsubo cardiomyopathy. Material and Methods. Analysis of cardiological literature with selection of clinical cases of patients with Takutsubo cardiomyopathy for electrocardiographic criteria detection to make an early diagnosis and the correct choice for the management. Results. Patients with Takotsubo CMP have the following symptoms: constrictive retrosternal pain, inspiratory dyspnea, palpitations and hemodynamic changes. Electrocardiographic pattern: precordial leads, spike torsades caused by an elongated QT interval. Markers of myocardial injury are normal or lightly raised. Echocardiographically we conclude reversible modifications: segmental akinesia, hipokinesia or dyskinesia, diminished contractility of left ventricule. Normal coronary arteries are found at coronaroangiography. Treatment: beta-blockers, converting-enzyme inhibitors, antiarrhythmic drugs, anticoagulants, sedatives. Conclusion. Takutsubo cardiomyopathy is induced by a stress with secondary catecholamine excess, with myocardial acute infarction clinical and paraclinical like signs, with intact coronary arteries and with fast improvement of the disorder evolution (days or weeks) and a low death rate 0-8%. |
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Cuvinte-cheie Takotsubo cardiomyopathy, stress, electrocardiography, cardiomiopatia Takotsubo, stres, electrocardiografie |
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