Takotsubo сardiomyopathy: case report

Abstract

Stress-induced cardiomyopathy, also known as takotsubo cardiomyopathy (TCM), is a type of reversible left ventricular dysfunction that occurs after emotional or physical stress and manifests as chest pain, electrocardiographic changes mimicking myocardial ischemia, cardiac enzyme elevation, transient left ventricular dysfunction involving mid and apical segments and normal or near-normal coronary angiography. This syndrome could happen after iatrogenic stressors like anesthesia or surgery. We hereby present two cases of TCM after anesthesia and surgery. In both cases, clinical, electrocardiographic, echocardiographic, and angiographic findings are employed to confirm this diagnosis.

Keywords

cardiac enzyme / cardiomyopathy / cardiovascular disease / left ventricular dysfunction / myocardial ischemia / takotsubo cardiomyopathy

References

[1] Sato H, Tateishi H, Uchida T. Takotsubo-type cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon M, et al, editors. Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo: Kagakuhyouronsha; 1990. P. 56–64.

[2] Sato H., Tateishi H., Uchida T. Takotsubo-type cardiomyopathy due to multivessel spasm. In: Kodama K., Haze K., Hon M., et al, editors. Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo: Kagakuhyouronsha, 1990. P. 56–64.

[3] Parodi G, Del Pace S, Carrabba N, et al. Incidence, Clinical Findings, and Outcome of Women With Left Ventricular Apical Ballooning Syndrome. Am J Cardiol. 2007;99(2):182–185. doi: 10.1016/j.amjcard.2006.07.080

[4] Parodi G., Del Pace S., Carrabba N., et al. Incidence, Clinical Findings, and Outcome of Women With Left Ventricular Apical Ballooning Syndrome // Am J Cardiol. 2007. Vol. 99, N 2. P. 182–185. doi: 10.1016/j.amjcard.2006.07.080

[5] Kawai S, Kitabatake A, Tomoike H, Takotsubo Cardiomyopathy Group. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J. 2007;71(6):990–992. doi: 10.1253/circj.71.990

[6] Kawai S., Kitabatake A., Tomoike H., Takotsubo Cardiomyopathy Group. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy // Circ J. 2007. Vol. 71, N 6. P. 990–992. doi: 10.1253/circj.71.990

[7] Wilson CJ, Mitchelson AJ, Tzeng TH, et al. Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes. Am J Surg. 2016;212(1):151–159. doi: 10.1016/j.amjsurg.2015.03.023

[8] Wilson C.J., Mitchelson A.J., Tzeng T.H., et al. Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes // Am J Surg. 2016. Vol. 212, N 1. P. 151–159. doi: 10.1016/j.amjsurg.2015.03.023

[9] Komamura K, Fukui M, Iwasaku T, et al. Takotsubo cardiomyopathy: pathophysiology, diagnosis and treatment. World J Cardiol. 2014;6(7):602–609. doi: 10.4330/wjc.v6.i7.602

[10] Komamura K., Fukui M., Iwasaku T., et al. Takotsubo cardiomyopathy: pathophysiology, diagnosis and treatment // World J Cardiol. 2014. Vol. 6, N 7. P. 602–609. doi: 10.4330/wjc.v6.i7.602

[11] Daly MJ, Dixon LJ. Takotsubo cardiomyopathy in preoperative patients with pain. Anesth Analg. 2010;110(3):708–711. doi: 10.1213/ane.0b013e3181a96fb9

[12] Daly M.J., Dixon L.J. Takotsubo cardiomyopathy in preoperative patients with pain // Anesth Analg. 2010. Vol. 110, N 3. P. 708–711. doi: 10.1213/ane.0b013e3181a96fb9

[13] Wong AK, Vernik WJ, Wiegers SE, et al. Perioperative Takotsubo cardiomyopathy identified in the operating room prior to induction of anesthesia. Anesth Analg. 2010;110(3):712–715. doi: 10.1213/ane.0b013e3181b48594

[14] Wong A.K., Vernik W.J., Wiegers S.E., et al. Perioperative Takotsubo cardiomyopathy identified in the operating room prior to induction of anesthesia // Anesth Analg. 2010. Vol. 110, N 3. P. 712–715. doi: 10.1213/ane.0b013e3181b48594

[15] Haghi D, Athanasiadis A, Papavassiliu T, et al. Right ventricular involvement in Takotsubo cardiomyopathy. Eur Heart J. 2006;27(20):2433–2439. doi: 10.1093/eurheartj/ehl274

[16] Haghi D., Athanasiadis A., Papavassiliu T., et al. Right ventricular involvement in Takotsubo cardiomyopathy // Eur Heart J. 2006. Vol. 27, N 20. P. 2433–2439. doi: 10.1093/eurheartj/ehl274

[17] Zuhdi AS, Yaakob ZH, Sadiq M, et al. Takotsubo cardiomyopathy in association with hyperthyroidism. Medicina (Kaunas). 2011;47(4):219–221.

[18] Zuhdi A.S., Yaakob Z.H., Sadiq M., et al. Takotsubo cardiomyopathy in association with hyperthyroidism // Medicina (Kaunas). 2011. Vol. 47, N 4. P. 219–221.

[19] Bird R, Saleh A, Riley T, et al. Takotsubo Cardiomyopathy Post Induction of Anesthesia. Journal of Medical Cases. 2015;6(9):437–439. doi: http://dx.doi.org/10.14740/jmc2280w

[20] Bird R., Saleh A., Riley T., et al. Takotsubo Cardiomyopathy Post Induction of Anesthesia // Journal of Medical Cases. 2015. Vol. 6, N 9. P. 437–439. doi: http://dx.doi.org/10.14740/jmc2280w

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