MyMedR

Takotsubo cardiomyopathy in association with hyperthyroidism

Zuhdi AS, Yaakob ZH, Sadiq MA, Ismail MD, Undok AW, Ahmad WA

Medicina (Kaunas), 2011;47(4):219-21.

Takotsubo cardiomyopathy is a rare, acute, nonischemic cardiomyopathy causing transient left ventricular dysfunction, which can mimic myocardial infarction on its presentation. While many cardiac manifestations have been associated with hyperthyroidism, we report a rare case where it has precipitated takotsubo cardiomyopathy.

Matched MeSH terms: Takotsubo Cardiomyopathy/diagnosis*; Takotsubo Cardiomyopathy/etiology; Takotsubo Cardiomyopathy/physiopathology

Fulltext Exotic food anaphylaxis and the broken heart: sago worm and takotsubo cardiomyopathy

Yew KL, Kok VS

Med J Malaysia, 2012 Oct;67(5):540-1.

PMID: 23770880 MyJurnal

There is increasing consumption of exotic food in Malaysia. Animals such as insects, worms and wild life animals also form part of the staple food of the local population. This practice may lead to more incidence of food allergy and anaphylaxis. We report a non-indigenous man who developed food anaphylaxis after consuming fried sago worms and consequently Takotsubo cardiomyopathy. We postulate that certain food allergy and anaphylaxis could be another causative trigger for Takotsubo cardiomyopathy.

Matched MeSH terms: Takotsubo Cardiomyopathy*

Fulltext Tako Tsubo cardiomyopathy in a patient with antiphosholipid syndrome secondary to systemic lupus erythemathosus (SLE)

Lim BA

Med J Malaysia, 2008 Jun;63(2):146-7.

PMID: 18942303 MyJurnal

Tako Tsubo cardiomyopathy is rare, stress related and indistinguishable from acute myocardial infarction clinically. Proper diagnosis is essential to avoid unnecessary thrombolysis and life long management of coronary artery disease.

Matched MeSH terms: Takotsubo Cardiomyopathy/diagnosis*; Takotsubo Cardiomyopathy/etiology

Fulltext Takotsubo Cardiomyopathy in Traumatic Brain Injury

Cheah CF, Kofler M, Schiefecker AJ, Beer R, Klug G, Pfausler B, et al.

Neurocrit Care, 2017 04;26(2):284-291.

PMID: 28000134 DOI: 10.1007/s12028-016-0334-y

BACKGROUND: Takotsubo cardiomyopathy (TC) is a well-known complication after aneurysmal subarachnoid hemorrhage and has been rarely described in patients with traumatic brain injury (TBI).

METHODS: Case report and review of literature.

RESULTS: Here, we report a 73-year-old woman with mild traumatic brain injury (TBI) presenting in cardiogenic shock. Takotsubo cardiomyopathy (TC) was diagnosed by repeated echocardiography. Cardiovascular support by inotropic agents led to hemodynamic stabilization after initiation of levosimendan. Cardiac function fully recovered within 21 days. We performed an in-depth literature review and identified 16 reported patients with TBI and TC. Clinical course and characteristics are discussed in the context of our patient.

CONCLUSION: Takotsubo cardiomyopathy is under-recognized after TBI and may negatively impact outcome if left untreated.

Matched MeSH terms: Takotsubo Cardiomyopathy/etiology*

Fulltext Takotsubo cardiomyopathy with meperidine

Yew KL

Med J Malaysia, 2012 Feb;67(1):136.

PMID: 22582571

Matched MeSH terms: Takotsubo Cardiomyopathy/chemically induced*

Immersion pulmonary oedema and Takotsubo cardiomyopathy

Ng A, Edmonds C

Diving Hyperb Med, 2015 Dec;45(4):255-7.

PMID: 26687314

A 67-year-old female scuba diver developed a typical immersion pulmonary oedema (IPE), but investigations strongly indicated Takotsubo cardiomyopathy (TC). The cardiac abnormalities included increased cardiac enzymes, electrocardiographic anomalies and echocardiographic changes, all reverting to normal within days. This case demonstrates a similarity and association between IPE and TC, and the importance of prompt cardiac investigations both in the investigation of IPE and in making the diagnosis of TC.

Matched MeSH terms: Takotsubo Cardiomyopathy/diagnosis*

Fulltext Tako-Tsubo like syndrome triggered by meperidine

Sacco A, Morici N, Belli O, Bossi I, Mafrici A, Klugmann S

Med J Malaysia, 2011 Dec;66(5):520-1.

PMID: 22390119

We present a case of "inverted Tako-Tsubo" syndrome in a woman sedated with meperidine before undergoing a colonscopy. We discuss possible etiology of this ventricular dysfunction.

Matched MeSH terms: Takotsubo Cardiomyopathy/chemically induced*

Fulltext Atypical Presentation of Takotsubo Cardiomyopathy: Stroke as a Predisposing Factor

Loong CW, Firdaus MAM, Said MRM, Abidin IZ

Medeni Med J, 2020;35(3):266-270.

PMID: 33110680 DOI: 10.5222/MMJ.2020.47374

Takotsubo syndrome is a rare disease and remained ambiguous with its etiology. The disease manifests in various clinical characteristics and even mimicking acute coronary syndrome. We are reporting a case of an elderly lady who manifested by unsteady gaits and recurrent falls. Subacute infarct of the right corona radiata was observed on the brain CT. In addition, coronary angiography and ventriculogram were performed because of dynamic ECG changes and elevated troponin I levels. The angiogram was normal while ventriculogram showed apical ballooning. She was diagnosed and treated as Takotsubo syndrome.

Matched MeSH terms: Takotsubo Cardiomyopathy

Fulltext Management of Takotsubo Syndrome: A Comprehensive Review

Sattar Y, Siew KSW, Connerney M, Ullah W, Alraies MC

Cureus, 2020 Jan 03;12(1):e6556.

PMID: 32042529 DOI: 10.7759/cureus.6556

Takotsubo syndrome (TTS), also known as Takotsubo cardiomyopathy, is a transient left ventricular wall dysfunction that is often triggered by physical or emotional stressors. Although TTS is a rare disease with a prevalence of only 0.5% to 0.9% in the general population, it is often misdiagnosed as acute coronary syndrome. A diagnosis of TTS can be made using Mayo diagnostic criteria. The initial management of TTS includes dual antiplatelet therapy, anticoagulants, beta-blockers, angiotensin-converting enzyme inhibitors or aldosterone receptor blockers, and statins. Treatment is usually provided for up to three months and has a good safety profile. For TTS with complications such as cardiogenic shock, management depends on left ventricular outflow tract obstruction (LVOTO). In patients without LVOTO, inotropic agents can be used to maintain pressure, while inotropic agents are contraindicated in patients with LVOTO. In TTS with thromboembolism, heparin should be started, and patients should be bridged to warfarin for up to three months to prevent systemic emboli. Our comprehensive review discussed the management in detail, derived from the most recent literature from observational studies, systematic review, and meta-analyses.

Matched MeSH terms: Takotsubo Cardiomyopathy

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