scholarly journals Heart broken. An unusual case of biventricular takotsubo cardiomyopathy complicated by STEMI and Left ventricular thrombi. A case report

2021 ◽  
Vol 11 (5) ◽  
pp. 703-707
Author(s):  
Muhammad Atif Masood Noori ◽  
Hasham Saeed ◽  
Abanoub Rushdy ◽  
Sherif Elkattawy ◽  
Qirat Jawed ◽  
...  
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Unusual Case ◽  
Left Ventricular ◽  
Left Ventricular Thrombi

Atypical Takotsubo Cardiomyopathy with Hypokinetic Left Mid-ventricle and Apical Wall Sparing: A Case Report and Literature Review

2020 ◽  
Vol 16 (3) ◽  
pp. 241-246
Author(s):  
Dipesh Ludhwani ◽  
Belaal Sheikh ◽  
Vasu K Patel ◽  
Khushali Jhaveri ◽  
Mohammad Kizilbash ◽  
...  
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Systolic Dysfunction ◽  
Obstructive Coronary Artery Disease ◽  
Left Ventricular ◽  
Reduced Ejection Fraction ◽  
Coronary Syndrome ◽  
Normal Left Ventricular ◽  
Artery Disease

Background: Takotsubo Cardiomyopathy (TTC) is an uncommon cause of acute reversible ventricular systolic dysfunction in the absence of obstructive Coronary Artery Disease (CAD). Typically manifesting as apical wall ballooning, TTC can rarely present atypically with apical wall sparing. Case report: A 62-year-old female presented with complaints of chest pain and features mimicking acute coronary syndrome. Coronary angiogram revealed no obstructive CAD and left ventriculogram showed reduced ejection fraction, normal left ventricular apex and hypokinetic mid-ventricles consistent with atypical TTC. The patient was discharged home on heart failure medications and a follow-up transthoracic echocardiogram demonstrated improved left ventricular function with no wall motion abnormality. Conclusion: This case report provides an insight into the diagnosis and management of TTC in the absence of pathognomic features.

Management of airway obstruction with nebulised adrenaline resulting in takotsubo cardiomyopathy: case report

2016 ◽  
Vol 130 (9) ◽  
pp. 883-886 ◽  
Author(s):  
F Keshtkar ◽  
O T Dale ◽  
W O Bennett ◽  
C E Hall
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Takotsubo Cardiomyopathy ◽  
Apical Ballooning ◽  
Left Ventricular ◽  
Coronary Syndrome ◽  
Wave Inversion ◽  
Acute Airway Obstruction ◽  
Artery Disease ◽  
High Index Of Suspicion

AbstractBackground:Takotsubo cardiomyopathy has been associated with the use of catecholamines; however, its development after the use of nebulised adrenaline for the management of acute airway obstruction has not previously been described.Case report:A 66-year-old man with squamous cell carcinoma of the larynx, with tumour–node–metastasis staging of T3N2cM0, confirmed by biopsy and computed tomography, presented to the emergency department with acute airway obstruction. He was treated twice with nebulised adrenaline and intravenous dexamethasone. After a period of 24 hours, cardiac rhythm changes were noted on telemetry. A 12-lead electrocardiogram showed widespread T-wave inversion and QT prolongation suggestive of an acute coronary syndrome. Coronary angiography demonstrated no coronary artery disease, but left ventricular angiography showed marked apical ballooning and apical wall akinesia consistent with a diagnosis of takotsubo cardiomyopathy.Conclusion:Takotsubo cardiomyopathy can mimic true ischaemic heart disease and the diagnosis requires a high index of suspicion in patients managed with nebulised adrenaline.

scholarly journals Takotsubo Cardiomyopathy Complicated with Left Ventricular Thrombus in Myasthenic Crisis: A Case Report

2019 ◽  
Vol 20 ◽  
pp. 743-747 ◽  
Author(s):  
Natnicha Pongbangli ◽  
Sasivimon Jae-aue ◽  
Wanwarang Wongcharoen ◽  
Arintaya Phrommintikul
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
Myasthenic Crisis ◽  
Ventricular Thrombus

Takotsubo cardiomyopathy associated with dydrogesterone use

2021 ◽  
Vol 14 (11) ◽  
pp. e246553
Author(s):  
Adam Ioannou
Keyword(s):  
Coronary Artery Disease ◽  
Case Report ◽  
Coronary Artery ◽  
Takotsubo Cardiomyopathy ◽  
Premenopausal Woman ◽  
Apical Ballooning ◽  
Left Ventricular ◽  
Female Sex Hormones ◽  
First Case ◽  
Artery Disease

Takotsubo cardiomyopathy is characterised by left ventricular apical ballooning, in the absence of coronary artery disease, and classically occurs at times of intense stress. Due to the striking preponderance of Takotsubo cardiomyopathy occurring in postmenopausal women, it has been postulated that female sex hormones may also be implicated in its pathogenesis. This case report describes the first case of Takotsubo cardiomyopathy associated with the initiation of dydrogesterone (a synthetic retroprogesterone) in a premenopausal woman.

scholarly journals Reverse takotsubo cardiomyopathy caused by patent foramen ovale-related cryptogenic stroke: a case report

2020 ◽  
Author(s):  
Hiroya Takafuji ◽  
Junya Arai ◽  
Kuniyasu Saigusa ◽  
Kotaro Obunai
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Acute Heart Failure ◽  
Takotsubo Cardiomyopathy ◽  
Transthoracic Echocardiography ◽  
Patent Foramen Ovale ◽  
Cryptogenic Stroke ◽  
Left Ventricular ◽  
Heart Team ◽  
Foramen Ovale

Abstract Background Reverse takotsubo cardiomyopathy (rTTC) is recognized as an atypical type of TTC. It has been suggested that neurological events are typical trigger of rTTC, especially in young individuals. Case summary In this case report, we describe a 16-year-girl who presented with neurological deficits due to embolic stroke and acute heart failure. Transthoracic echocardiography on admission revealed a severely reduced left ventricular (LV) function with akinesis of basal to mid LV, but normal contraction in apex. Coronary computed tomography angiography confirmed unobstructed coronary arteries. Two weeks later, her LV wall motion and ejection fraction were completely normalized. Transthoracic echocardiography and transoesophageal echocardiography demonstrated no evidence of intracardiac thrombus but showed a patent foramen ovale (PFO) with large shunt. After thorough work-up and brain–heart team discussion, we concluded that the patient developed rTTC due to cryptogenic stroke related with her PFO. She underwent percutaneous PFO closure for secondary prevention with good clinical course. Discussion Reverse TTC is a rare condition. It should be considered in stroke patients with acute heart failure. Quick diagnosis and management with brain–heart team is crucial for better prognosis.

scholarly journals Takotsubo cardiomyopathy with transient left ventricular obstruction successfully treated with cibenzoline succinate: A case report

2015 ◽  
Vol 11 (6) ◽  
pp. 155-157 ◽  
Author(s):  
Katsuhiro Tomofuji ◽  
Shuntaro Ikeda ◽  
Chika Murakami ◽  
Yusuke Ochiumi ◽  
Masayuki Nakamura ◽  
...  
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Left Ventricular

scholarly journals Percutaneous Catheter Thrombus Aspiration of Right Renal Infarction Caused by Left Ventricular Thrombi due to Takotsubo Cardiomyopathy

2020 ◽  
Vol 61 (2) ◽  
pp. 400-403
Author(s):  
Risa Kishikawa ◽  
Takahiro Tanaka ◽  
Masaki Hashimoto ◽  
Kei Honda ◽  
Yasutoshi Omori ◽  
...  
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Left Ventricular ◽  
Renal Infarction ◽  
Thrombus Aspiration ◽  
Percutaneous Catheter ◽  
Left Ventricular Thrombi

scholarly journals Dynamic left ventricular outflow tract gradient resulting from Takotsubo cardiomyopathy ameliorated by intra-aortic balloon pump counterpulsation: a case report

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Jim O’Brien ◽  
Stephen Mahony ◽  
Roger J Byrne ◽  
Robert A Byrne
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Left Ventricular Outflow Tract ◽  
Apical Ballooning ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Mechanical Support ◽  
Intra Aortic Balloon Pump ◽  
Left Ventricular Outflow

Abstract Background Takotsubo cardiomyopathy is a variant of acute coronary syndrome with characteristic acute left ventricular apical ballooning. Uncommonly, there can be associated left ventricular outflow tract (LVOT) obstruction causing cardiogenic shock refractory to inotropic support. The use of afterload-reducing mechanical support such as intra-aortic balloon pump (IABP) counterpulsation is not routinely employed in instances of this kind. Case summary In our case report, we describe a 66-year-old female with acute Takotsubo cardiomyopathy and associated LVOT obstruction which failed to respond to high-dose dobutamine and whose clinical trajectory was worsened by fast atrial fibrillation with rapid ventricular response. Within 24 h of admission, the patient had an IABP placed which rapidly improved her haemodynamics. Two days later, IABP was removed and within 6 days of admission, apical ballooning and LVOT obstruction had fully recovered. Conclusion We recommend early use of mechanical support with IABP counterpulsation to expedite recovery in patients with acute Takotsubo cardiomyopathy with associated LVOT obstruction.

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