Diagnosis of Takotsubo Cardiomyopathy

Takotsubo cardiomyopathy after an emotional outburst

“…Although this case illustrates typical features of TTC after severe emotional distress, it can also be triggered by physically stressful events [1]. Emotional stressors range from a discrete event such as receipt of bad news to an ongoing relationship problem.…”

“…Takotsubo cardiomyopathy (TTC) is characterised by transient systolic dysfunction of the apical and midsegment of the left ventricle with apical ballooning in the absence of obstructive coronary artery lesions [1]. It is usually preceded by severe stress and the clinical presentation is similar to acute coronary syndrome.…”

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LettersTakotsubo cardiomyopathy (TTC) is characterised by transient systolic dysfunction of the apical and midsegment of the left ventricle with apical ballooning in the absence of obstructive coronary artery lesions [1]. It is usually preceded by severe stress and the clinical presentation is similar to acute coronary syndrome.

A 63-year old female was admitted with sudden unbearable retrosternal chest pain which started immediately after a heated argument with her daughterin-law.

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Takotsubo cardiomyopathy resulting from exacerbation of chronic pancreatitis

“…Over the next 3 days symptoms of pancreatitis were alleviated, the laboratory tests results significantly improved, and, as a result, the patient was able to tolerate oral food intake. After a 10-day follow-up, the left ventricle function (as measured by TTE) recovered with an estimated ejection fraction at the level of Marta Garbowska et al, Takotsubo cardiomyopathy and chronic pancreatitis skinesis of the left ventricular mid-segments with or without apical involvement; 2) absence of obstructive coronary disease or angiographic evidence of acute plaque rupture; 3) new electrocardiographic abnormalities (ST-segment elevation and/or T-wave inversion) or modest elevation in cardiac troponin; and 4) absence of pheochromocytoma or myocarditis [9]. In the light of these considerations, the diagnosis of TCM in the case of our patient was established correctly.…”

Dressler’s syndrome as a complication of apical ballooning cardiomyopathy

“…[1,2] For proper diagnosis, other causes of wall motion abnormalities such as coronary heart disease, myocarditis and other types of cardiomyopathies have to be excluded. [3][4][5] Takotsubo syndrome affects primarily post-menopausal women, but can also affect younger women and men. [6] The presenting symptoms are usually of typical chest pain, palpitations and shortness of breath.…”