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Broddþensluheilkenni : sjúkratilfelli og yfirlit

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Authors
Guðný Stella Guðnadóttir
Hannes Sigurjónsson
Þorbjörn Guðjónsson
Helga Agústa Sigurjónsdóttir
Maríanna Garðarsdóttir
Ragnar Danielsen
Karl Andersen
Issue Date
2008-11-01

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Other Titles
Apical ballooning syndrome, case series
Citation
Læknablaðið 2008, 94(11):747-52
Abstract
Apical ballooning syndrome is a cardiac syndrome typically characterized by transient focal dyskinesia or akinesia of the mid and apical regions of the left ventricle and hyperkinesia of the basal region. The symptoms and signs of the patient mimic myocardial infarction, with chest pain, electrocardiographic changes and elevation of cardiac enzymes but without significant coronary artery disease. The syndrome is frequently preceded by physical or emotional stress. We describe three cases of apical ballooning syndrome diagnosed during 10 days in December 2007 at Landspítali University Hospital Reykjavík.
Broddþensluheilkenni einkennist af bráðri skerðingu á samdrætti vinstri slegils þar sem broddur og miðhluti hans þenjast út, en kröftugur samdráttur er í grunnhluta. Heilkennið er mun algengara hjá konum. Líkamlegt eða andlegt álag getur verið orsakavaldur. Einkenni og teikn sjúklings líkjast bráðu kransæðaheilkenni með brjóstverk, breytingum á hjartalínuriti og hækkun á hjartaensímum. Ekki finnast marktækar þrengingar í kransæðum. Heilkennið er afturkræft. Lýst er þremur tilfellum af broddþenslu sem voru greind á hjartadeild Landspítala á 10 dögum í desember 2007.
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http://www.laeknabladid.is
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Icelandic Journal Articles (Peer Reviewed)

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