scholarly journals Case Report: My lung broke my heart! Takotsubo cardiomyopathy due to pneumonia

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 518
Author(s):  
Navid Ahmed ◽  
Himali Gandhi ◽  
Daniel B. Sims
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Acute Infection ◽  
Pleuritic Chest Pain ◽  
Cardiac Enzymes ◽  
Coronary Syndrome ◽  
Cardiac Syndrome ◽  
Normal Wall ◽  
Chest X Ray ◽  
Artery Disease ◽  
As Stress

Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a cardiac syndrome that often mimics acute myocardial infarction. TTC is commonly triggered by physical or emotional stress; however, acute infection is a rarer etiology. This report concerns the case of an 82-year-old female who presented with non-positional and non-pleuritic chest pain, with an associated fever and cough and chest x-ray findings consistent with pneumonia. Cardiac enzymes and ECG findings were consistent with acute coronary syndrome (ACS); however, during coronary angiography, no coronary artery disease could explain the patient’s ACS. A post-catheterization echocardiogram revealed an ejection fraction of 25%, with apical akinesis. A repeat echocardiogram 4 weeks after presentation showed a normal EF and normal wall motion, confirming a diagnosis of TTC.

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 A comparative study of clinical profile, severity and outcome of acute coronary syndrome in women and men admitted to a tertiary hospital

2019 ◽  
Vol 6 (3) ◽  
pp. 634
Author(s):  
Yugandhar Tummala ◽  
Mohamed Hanifah ◽  
B. Amirtha Ganesh
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Care Hospital ◽  
Cardiac Enzymes ◽  
Major Health ◽  
Coronary Syndrome ◽  
Appropriate Treatment ◽  
Artery Disease ◽  
Worse Prognosis

Background: Coronary artery disease (CAD) has emerged as a major health burden in developing countries. Many recent reports concluded that women with CAD have a worse prognosis than men and also with regards to invasive interventions when compared to men. In this study, author determined the comparative outcomes of ACS in women when compared with men.Methods: This study was conducted in a tertiary care hospital from November 2016 to March 2018. History taking, ECG, cardiac enzymes, 2D-Echo and angiogram were done to diagnose ACS and the appropriate treatment was given. The severity was assessed and compared the outcomes along with complications.Results: The total of 112 patients were treated for ACS, in which, 55 were females and the remaining 57 were males. Majority of the patients in both genders was between the ages of 51-60. In males, STEMI noted 50.8%, NSTEMI in 36.8%, UA in 12.2%. In females, STEMI is noted in 62%, unstable angina in 32.7%, NSTEMI in 27.2%. Six patients (11%) had mortality in the women group and one (1.8%) had died among men.Conclusions: Atypical presentation of ACS was more common in females. Women with ACS had higher complications and higher mortality than men.

scholarly journals Takotsubo cardiomyopathy triggered by status epilepticus: case report and literature review

2019 ◽  
Vol 12 (1) ◽  
pp. e225924 ◽  
Author(s):  
Savvy Nandal ◽  
Anastasia Castles ◽  
Muhammad Asrar ul Haq ◽  
William van Gaal
Keyword(s):  
Status Epilepticus ◽  
Takotsubo Cardiomyopathy ◽  
Wall Motion ◽  
Clinical Presentation ◽  
Acute Stress ◽  
Seizure Activity ◽  
Ecg Changes ◽  
Cardiac Enzymes ◽  
Coronary Syndrome ◽  
Wall Motion Abnormalities

Takotsubo cardiomyopathy (TC) is acute stress-induced cardiomyopathy with characteristic transient wall motion abnormalities. TC has a clinical presentation similar to an acute coronary syndrome, including chest pain or dyspnoea, ECG changes and elevated cardiac enzymes. TC often occurs after emotional stress. There are approximately 50 TC cases reported related to seizure activity, and our review revealed 15 articles which were associated with status epilepticus. This condition can be a serious complication of seizures. We report a case of TC after status epilepticus in a patient who had been seizure-free for 20 years.

scholarly journals Takotsubo cardiomyopathy complicating acute pancreatitis: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
John Yeh ◽  
James Carroll
Keyword(s):  
Coronary Artery Disease ◽  
Acute Pancreatitis ◽  
Takotsubo Cardiomyopathy ◽  
Rare Complication ◽  
Obstructive Coronary Artery Disease ◽  
Case Presentation ◽  
Coronary Syndrome ◽  
History Of ◽  
Artery Disease ◽  
Delays In Diagnosis

Abstract Background Acute pancreatitis as a trigger of Takotsubo cardiomyopathy has been infrequently described in the literature. Misdiagnosis of this phenomenon can often occur due to overlap in symptomology, particularly in those outside of the usual patient demographic. Case presentation A 27-year-old man with a history of alcohol abuse presented with epigastric and chest pain. Electrocardiography showed ischemic changes, and laboratory workup revealed elevated lipase and troponin. He was diagnosed with acute pancreatitis and managed presumptively as acute coronary syndrome. Subsequent coronary angiography was negative for obstructive coronary artery disease, and left ventriculography demonstrated basal hyperkinesis and apical akinesis, characteristic of Takotsubo cardiomyopathy. Conclusions Takotsubo cardiomyopathy is a rare complication of acute pancreatitis. Increased awareness of this phenomenon is required to prevent delays in diagnosis and avoid unnecessary interventions and complications.

scholarly journals Takotsubo Cardiomyopathy in Intensive Care Unit: Prevention, Diagnosis and Management

2016 ◽  
Vol 5 ◽  
Author(s):  
Hannah Masoud
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Takotsubo Cardiomyopathy ◽  
Cardiac Enzymes ◽  
Presumptive Diagnosis ◽  
Coronary Syndrome ◽  
Magnetic Imaging ◽  
Life Threatening ◽  
Prognostic Implications ◽  
Diagnostic Modalities

Accurate diagnosis of Takotsubo Cardiomyopathy has substantial prognostic implications in an intensive care unit, given its increased mortality risk and association with life-threatening complications. This report seeks to discuss diagnostic modalities that can be useful in accurately differentiating Takotsubo Cardiomyopathy from Acute Coronary Syndrome, and also briefly discuss prevention and management of this cardiomyopathy in an intensive care unit. For severely critically ill Takotsubo patients with relative contraindications to angiography, intensive clinicians can consider establishing presumptive diagnosis noninvasively by specific electrocardiogram changes, distinctive marked release of cardiac enzymes, characteristic echocardiogram findings, and accurate cardiac magnetic imaging.

scholarly journals Sepsis-Induced Takotsubo Cardiomyopathy Leading to Torsades de Pointes

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Nirav Patel ◽  
Abhishek Shenoy ◽  
George Dous ◽  
Haroon Kamran ◽  
Nabil El-Sherif
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Takotsubo Cardiomyopathy ◽  
Myocardial Dysfunction ◽  
Torsades De Pointes ◽  
Left Ventricular ◽  
Coronary Syndrome ◽  
St Elevation ◽  
Artery Disease

Background. Takotsubo cardiomyopathy (TCM) is sudden and reversible myocardial dysfunction often attributable to physical or emotional triggers.Case Report. We describe a 51-year-old man presented to emergency department with sepsis from urinary tract infection (UTI). He was placed on cefepime for UTI and non-ST-elevation myocardial infarction protocol given elevated troponins with chest pain. Subsequently, patient was pulseless with torsades de pointes (TdP) and then converted to sinus rhythm with cardioversion. An echocardiogram revealed low ejection fraction with hypokinesis of the apical wall. Over 48 hours, the patient was extubated and stable on 3 L/min nasal cannula. He underwent a cardiac catheterization to evaluate coronary artery disease (CAD) and was found to have mild nonobstructive CAD with no further findings.Conclusion. TCM is a rare disorder presenting with symptoms similar to acute coronary syndrome. Though traditionally elicited by physical and emotional triggers leading to transient left ventricular dysfunction, our case suggests that it may also be triggered by a urinary tract infection and lead to severe QT prolongation and a malignant ventricular arrhythmia in TdP.

scholarly journals Pericarditis in Takotsubo Cardiomyopathy: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Joonseok Kim ◽  
Heather S. Laird-Fick ◽  
Osama Alsara ◽  
Venu Gourineni ◽  
George S. Abela
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Caucasian Woman ◽  
Review Of The Literature ◽  
Cardiac Enzymes ◽  
Acute Pericarditis ◽  
Left Chest ◽  
St Segment ◽  
Triggering Factor ◽  
Artery Disease

Case. A 64-year-old Caucasian woman was brought to the emergency department with severe dysphagia and left chest pain for last 4 days. Initial evaluation revealed elevated ST segment in precordial leads on EKG with elevated cardiac enzymes. Limited echocardiogram showed infra-apical wall hypokinesia. Cardiac angiography was done subsequently which showed nonflow limiting mild coronary artery disease. Takotsubo cardiomyopathy was diagnosed and she was treated medically. On the third day of admission, a repeat ECG showed diffuse convex ST-segment elevations in precordial leads, compatible with acute pericarditis pattern of EKG. Decision was made to start colchicine empirically for possible pericarditis. Follow-up EKG in 2 days showed decreased ST-segment elevations in precordial leads. The patient was discharged with colchicine and a follow-up echocardiogram in 4 weeks demonstrated a normal ejection fraction with no evidence of pericarditis.Conclusion. Acute pericarditis can be associated either as a consequence of or as a triggering factor for Takotsubo cardiomyopathy. It is vital for physicians to be aware of pericarditis as a potential complication of Takotsubo cardiomyopathy.

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