China’s first love bank cherishes keepsakes over cash by Liu Jian BANKS are places to deposit and withdraw money - and now love. Gong Yelong,a man in his early 30s,has opened China’s first love bank.Located on Gulou...China’s first love bank cherishes keepsakes over cash by Liu Jian BANKS are places to deposit and withdraw money - and now love. Gong Yelong,a man in his early 30s,has opened China’s first love bank.Located on Gulou Dongdajie in Beijing’s Dongcheng District,the "Bank of Love"(Aiqing Yinhang in Chinese) offers a place where people can deposit keepsakes memorializing a relationship, along with providing various other love-related services. "It’s a pity to throw romantic mementos away,but keeping展开更多
Takotsubo syndrome(TTS)is a recently identified acute heart syndrome,characterized by regional wall motion abnormalities not justified by the presence of significant coronary artery obstruction.Clinically,TTS closely ...Takotsubo syndrome(TTS)is a recently identified acute heart syndrome,characterized by regional wall motion abnormalities not justified by the presence of significant coronary artery obstruction.Clinically,TTS closely resembles acute coronary syndromes(ACS)and therefore differential diagnosis may be an important obstacle for its correct clinical management.The prevalence of TTS is estimated to be around2%of acute myocardial infarctions,and the number of diagnoses has increased in recent years,possibly reflecting our growing understanding of this condition.Given the similarities between TTS and ACS,clinical presentation in these patients is equivocal.However,numerous peculiar traits have been observed,such as the greater prevalence in postmenopausal women and the presence of stressful triggers.Many pathogenetic hypotheses for TTS,such as catecholamine overload and microvascular dysfunction,have been proposed.None of these have been capable of independently explaining the underlying mechanisms.The diagnostic criteria proposed by the Heart Failure Association of the European Society of Cardiology represent a novel attempt to introduce semiquantitative parameters,yet further scientifi c validation is needed.Contrary to previous opinions,TTS is not always benign,considering the relatively high prevalence of acute complications,an estimated in-hospital mortality similar to that of acute myocardial infarction(1-8%),and a signifi cant rate of recurrences and persistence of symptoms.Clinical management of TTS has been largely based on empirical experience related to ACS,and therefore pharmacological strategies are partially overlapping.An issue of the utmost importance is the lack of randomized prospective data validating diagnostic criteria,risk stratification,and specifi c therapeutic approaches.展开更多
We present the case of an 86-year-old woman referred to us from Orthopaedics Division after surgical treatment for femur fracture without personal or family history of ischemic cardiopathy. During hospitalization the ...We present the case of an 86-year-old woman referred to us from Orthopaedics Division after surgical treatment for femur fracture without personal or family history of ischemic cardiopathy. During hospitalization the patient had stomach-ache and the electrocardiogram demonstrated ST-segment elevation in anterior leads. The coronarography showed haziness, but no critical stenosis;ventricolography revealed apical ballooning of the left ventricle with severe systolic dysfunction. She was treated with dopamine in renal dose, beta-blockers and warfarin. When she was in fairly good condition, she started physiotherapy for endoprosthesis for the femur fracture. Clinicians should consider takotsubo cardiomyopathy in the differential diagnosis of patients presenting with chest pain, especially in women with a recent history of physical stress.展开更多
First described in Hiroshima City Hospital in 1990, Takotsubo Cardiomyopathy emerged as an important differential diagnosis for acute coronary syndrome, since this disease mimics some commemoratives presentations of a...First described in Hiroshima City Hospital in 1990, Takotsubo Cardiomyopathy emerged as an important differential diagnosis for acute coronary syndrome, since this disease mimics some commemoratives presentations of acute coronary syndrome such as chest symptoms, electrocardiographic changes and cardiac injury biomarker alteration. Also, it＇s important to emphasize that, although it commonly occurs among woman, TCC can happen in males, as demonstrated in other studies which 10% of the cases occurred in male sex. In this way, this study shows the importance of Takotsubo Cardiornyopathy as a differential diagnosis for acute coronary syndrome.展开更多
文摘China’s first love bank cherishes keepsakes over cash by Liu Jian BANKS are places to deposit and withdraw money - and now love. Gong Yelong,a man in his early 30s,has opened China’s first love bank.Located on Gulou Dongdajie in Beijing’s Dongcheng District,the "Bank of Love"(Aiqing Yinhang in Chinese) offers a place where people can deposit keepsakes memorializing a relationship, along with providing various other love-related services. "It’s a pity to throw romantic mementos away,but keeping
文摘Takotsubo syndrome(TTS)is a recently identified acute heart syndrome,characterized by regional wall motion abnormalities not justified by the presence of significant coronary artery obstruction.Clinically,TTS closely resembles acute coronary syndromes(ACS)and therefore differential diagnosis may be an important obstacle for its correct clinical management.The prevalence of TTS is estimated to be around2%of acute myocardial infarctions,and the number of diagnoses has increased in recent years,possibly reflecting our growing understanding of this condition.Given the similarities between TTS and ACS,clinical presentation in these patients is equivocal.However,numerous peculiar traits have been observed,such as the greater prevalence in postmenopausal women and the presence of stressful triggers.Many pathogenetic hypotheses for TTS,such as catecholamine overload and microvascular dysfunction,have been proposed.None of these have been capable of independently explaining the underlying mechanisms.The diagnostic criteria proposed by the Heart Failure Association of the European Society of Cardiology represent a novel attempt to introduce semiquantitative parameters,yet further scientifi c validation is needed.Contrary to previous opinions,TTS is not always benign,considering the relatively high prevalence of acute complications,an estimated in-hospital mortality similar to that of acute myocardial infarction(1-8%),and a signifi cant rate of recurrences and persistence of symptoms.Clinical management of TTS has been largely based on empirical experience related to ACS,and therefore pharmacological strategies are partially overlapping.An issue of the utmost importance is the lack of randomized prospective data validating diagnostic criteria,risk stratification,and specifi c therapeutic approaches.
文摘We present the case of an 86-year-old woman referred to us from Orthopaedics Division after surgical treatment for femur fracture without personal or family history of ischemic cardiopathy. During hospitalization the patient had stomach-ache and the electrocardiogram demonstrated ST-segment elevation in anterior leads. The coronarography showed haziness, but no critical stenosis;ventricolography revealed apical ballooning of the left ventricle with severe systolic dysfunction. She was treated with dopamine in renal dose, beta-blockers and warfarin. When she was in fairly good condition, she started physiotherapy for endoprosthesis for the femur fracture. Clinicians should consider takotsubo cardiomyopathy in the differential diagnosis of patients presenting with chest pain, especially in women with a recent history of physical stress.
文摘First described in Hiroshima City Hospital in 1990, Takotsubo Cardiomyopathy emerged as an important differential diagnosis for acute coronary syndrome, since this disease mimics some commemoratives presentations of acute coronary syndrome such as chest symptoms, electrocardiographic changes and cardiac injury biomarker alteration. Also, it＇s important to emphasize that, although it commonly occurs among woman, TCC can happen in males, as demonstrated in other studies which 10% of the cases occurred in male sex. In this way, this study shows the importance of Takotsubo Cardiornyopathy as a differential diagnosis for acute coronary syndrome.
