Cinsel saldırı sonrası bir oktogenarda gelişen takotsubo kardiyomiyopatisi

Abstract

Takotsubo kardiyomiyopatisi TTC , koroner anjiyografide kritik koroner arter hastalığı olmadan sol ventrikül disfonksiyonu ve miyokard enfarktüsü bulgularının olduğu akut koroner sendrom gibi kardiyovasküler sendromdur. Bu hastalık genellikle duygusal stres, fiziksel ve ekonomik olaylardan sonra yaşlı ve postmenopozal kadınlarda görülür. Hastalar akut koroner sendromun çeşitli varyantları ile acil servise başvurur. Bu yazıda, cinsel istismar ve saldırıdan sonra dispne, göğüs ağrısı ve vücut travması ile acil servise başvuran 87 yaşında bir kadın olguyu tanımladık.Dolayısıyla bu vaka aynı zamanda adli ve psikiyatrik br olgudur. Kardiyak kateterzasyonda koroner arterlerde kritik darlık gözlenmedi ve sol ventrikülde apikal balonlaşma gözlendi. TTC, birkaç gün içinde klinik ve laboratuvar değerlerinin iyileşmesi ile karakterizedir.

Keywords

• Takotsubo kardiyomiyopatisi
• Cinsel travma
• Apikal balonlaşma
• Oktogenar

Takotsubo cardiomyopathy after sexual abuse in an octogenarian

Abstract

Takotsubo cardiomyopathy TTC is a cardiovascular syndrome similar to acute coronary syndrome presenting with left ventricular dysfunction and myocardial infarction without critical coronary artery disease in coronary angiography. This disease is usually seen in elderly and postmenopausal women after emotional stress or physical or economic crises. Patients present to the emergency room with variants of acute coronary syndrome. In this article, we describe the case of an 87-year-old woman who applied to the emergency department with dyspnea, chest pain, and body trauma after sexual abuse and assault, so this case is also a forensic case. There was no critical stenosis in the cardiac catheterization and apical ballooning was observed in the left ventricle. TTC is characterized by improvement of clinical and laboratory values in a few days.

Keywords

• Takotsubo cardiomyopathy
• Sexual trauma
• Apical ballooning
• Octogenarian

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