Takotsubo сardiomyopathy: case report

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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.

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About the authors

Seyed Kianoosh Hosseini

Tehran University of Medical Sciences

Email: K.hoseini86@gmail.com
ORCID iD: 0000-0001-6265-5932

MD, Associate professor

Iran, Islamic Republic of, Jalale Ale Ahmad Highway, Tehran

Shahin Shirani

Tehran University of Medical Sciences

Email: dr.Shahinshirani@gmail.com
ORCID iD: 0000-0002-0393-4234

MD, Associate professor

Iran, Islamic Republic of, Jalale Ale Ahmad Highway, Tehran

Somayeh Mohagheghi

Tehran University of Medical Sciences

Email: Azitamohagheghi@yahoo.com
ORCID iD: 0000-0001-5095-3529

MD, General physician

Iran, Islamic Republic of, Jalale Ale Ahmad Highway, Tehran

Nadia Zandi

Tehran University of Medical Sciences

Email: Nadia.zandi.esc@gmail.com
ORCID iD: 0000-0002-4579-3097

MD, General physician

Iran, Islamic Republic of, Jalale Ale Ahmad Highway, Tehran

Abbas Mohagheghi

Tehran University of Medical Sciences

Email: Mohagheghiabbas@yahoo.com
ORCID iD: 0000-0002-8342-0400

MD, Associate professor

Iran, Islamic Republic of, Jalale Ale Ahmad Highway, Tehran

Atoosa Mostafavi

Tehran University of Medical Sciences

Author for correspondence.
Email: Mostafavi.atoosa@gmail.com
ORCID iD: 0000-0002-5878-750X

MD, Associate professor

Iran, Islamic Republic of, Jalale Ale Ahmad Highway, Tehran

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. 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
  3. 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
  4. 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
  5. 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
  6. Daly MJ, Dixon LJ. Takotsubo cardiomyopathy in preoperative patients with pain. Anesth Analg. 2010;110(3):708–711. doi: 10.1213/ane.0b013e3181a96fb9
  7. 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
  8. 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
  9. Zuhdi AS, Yaakob ZH, Sadiq M, et al. Takotsubo cardiomyopathy in association with hyperthyroidism. Medicina (Kaunas). 2011;47(4):219–221.
  10. 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

Supplementary files

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2. Fig. 1. The left ventriculogram in Сase 1 shows an apical ballooning pattern.

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3. Fig. 2. Electrocardiogram of Case 2.

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4. Fig. 3. Recovery of left ventricular function after three weeks in Сase 2.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80632 от 15.03.2021 г
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