Martina Oslayová, Christoph Gräni, Christian Muster
{"title":"[由枪击引起的Takotsubo综合征——子弹没有击中心脏,但仍然击中了心脏]。","authors":"Martina Oslayová, Christoph Gräni, Christian Muster","doi":"10.23785/PRAXIS.2025.04.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>In our case, the rifle bullet fortunately did not hit the patient. Nevertheless, the incident was a very serious emotional event for the patient. Due to the release of stress hormones, the incident had an indirect and potentially fatal effect on the heart. A takotsubo syndrome emerged with typical chest pain, repolarization abnormalities and elevation of cardiac biomarkers. The morphology was atypical, showing mid-ventricular wall motion abnormalities. In our case, a previous episode of takotsubo syndrome can be suspected. Fortunately, the outcome was benign and the systolic LVEF normalized after 3 months of heart failure therapy. The severe complications associated with LVOT obstruction did not occur. This is not the first case report of a takotsubo syndrome after a gunshot, but it is the first without a direct effect of the bullet.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 4","pages":"155-158"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Takotsubo syndrome caused by gunshot - a bullet missed the heart but still hits it].\",\"authors\":\"Martina Oslayová, Christoph Gräni, Christian Muster\",\"doi\":\"10.23785/PRAXIS.2025.04.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>In our case, the rifle bullet fortunately did not hit the patient. Nevertheless, the incident was a very serious emotional event for the patient. Due to the release of stress hormones, the incident had an indirect and potentially fatal effect on the heart. A takotsubo syndrome emerged with typical chest pain, repolarization abnormalities and elevation of cardiac biomarkers. The morphology was atypical, showing mid-ventricular wall motion abnormalities. In our case, a previous episode of takotsubo syndrome can be suspected. Fortunately, the outcome was benign and the systolic LVEF normalized after 3 months of heart failure therapy. The severe complications associated with LVOT obstruction did not occur. This is not the first case report of a takotsubo syndrome after a gunshot, but it is the first without a direct effect of the bullet.</p>\",\"PeriodicalId\":20494,\"journal\":{\"name\":\"Praxis\",\"volume\":\"114 4\",\"pages\":\"155-158\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Praxis\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.23785/PRAXIS.2025.04.007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Praxis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23785/PRAXIS.2025.04.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Takotsubo syndrome caused by gunshot - a bullet missed the heart but still hits it].
Introduction: In our case, the rifle bullet fortunately did not hit the patient. Nevertheless, the incident was a very serious emotional event for the patient. Due to the release of stress hormones, the incident had an indirect and potentially fatal effect on the heart. A takotsubo syndrome emerged with typical chest pain, repolarization abnormalities and elevation of cardiac biomarkers. The morphology was atypical, showing mid-ventricular wall motion abnormalities. In our case, a previous episode of takotsubo syndrome can be suspected. Fortunately, the outcome was benign and the systolic LVEF normalized after 3 months of heart failure therapy. The severe complications associated with LVOT obstruction did not occur. This is not the first case report of a takotsubo syndrome after a gunshot, but it is the first without a direct effect of the bullet.