@article{ref1,
title="Near-drowning syndrome: a possible trigger of tako-tsubo cardiomyopathy",
journal="Journal of cardiovascular medicine (LWW)",
year="2008",
author="Citro, Rudolfo and Patella, Marco Mariano and Bossone, Eduardo and Maione, AntonGiulio and Provenza, Gennaro and Gregorio, Giovanni",
volume="9",
number="5",
pages="501-505",
abstract="We report a case of transient tako-tsubo cardiomyopathy characterized by an unusual trigger in a woman victim of near-drowning syndrome. After 24 h, electrocardiogram changes and a typical echocardiographic pattern of apical ballooning with a mild increase of serum troponin level induced the suspicion of tako-tsubo cardiomyopathy despite the absence of chest pain. Left ventriculography confirmed the apical ballooning, and coronary angiography revealed normal coronary arteries. Electrocardiogram changes and apical contraction abnormalities were reversed within 1 month. In conclusion, we hypothesize that hypoxemia related to near-drowning syndrome could have induced transient myocardial dysfunction mediated by a sympathetic nerve activation.  Keywords: Drowning; Drowning Prevention; Water Safety <p /> <p>Language: en</p>",
language="en",
issn="1558-2027",
doi="10.2459/JCM.0b013e3282f03aca",
url="http://dx.doi.org/10.2459/JCM.0b013e3282f03aca"
}