Context: The nature of scorpion-related cardiomyopathy is still a matter of debate where specific toxin-induced cardiomyopathy, ischemic, or catecholaminergic cardiomyopathy is advocated as well. We report two cases of Takotsubo syndrome following envenomation by Androctonus australis, bringing new evidence for the fundamental role of catecholamines in the pathogenesis of this cardiomyopathy. Case 1: A woman aged 36 presented with pulmonary edema and shock following scorpion envenomation. Echocardiography-Doppler showed a LVEF at 30%. Cardiac magnetic resonance (CMR) imaging showed a basal ballooning of the left and right ventricles suggestive of an inverted biventricular Takotsubo syndrome. A second CMR performed after recovery was normal. Case 2: A woman aged 45 was admitted for pulmonary edema and shock consecutive to scorpion envenomation. Echocardiography showed a LVEF at 35%. CMR showed a basal ballooning. The patient was discharged four days following admission with a normal LV function on repeat echocardiography examination. Conclusions: Cardiomyopathy in these cases, following scorpion envenomation by Androctonus australis, fulfills the criteria of Takotsubo syndrome. These observations contribute to our understanding of the mechanism, prognosis, and treatment of scorpion-related cardiomyopathy.
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Abroug, Fekri
;
Souheil, Elatrous
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Hosp Univ TaharSfar, Intens Care Unit Ctr, Mahdia, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Souheil, Elatrous
;
Ouanes, Islem
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Ouanes, Islem
;
Dachraoui, Fahmi
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Dachraoui, Fahmi
;
Fekih-Hassen, Mohamed
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ TaharSfar, Intens Care Unit Ctr, Mahdia, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Fekih-Hassen, Mohamed
;
Besbes, Lamia Ouanes
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
机构:
Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Royal Brompton Hosp, NIHR Cardiovasc Biomed Res Unit, Sydney St, London SW3 6NP, EnglandUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Lyon, Alexander R.
;
Bossone, Eduardo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Salerno, Cava Tirreni & Amalfi Coast Hosp, Div Cardiol, Heart Dept, Salerno, ItalyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Bossone, Eduardo
;
Schneider, Birke
论文数: 0引用数: 0
h-index: 0
机构:
Sana Klin Lubeck, Med Klin 2, Lubeck, GermanyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Schneider, Birke
;
Sechtem, Udo
论文数: 0引用数: 0
h-index: 0
机构:
Robert Bosch Krankenhaus, Dept Cardiol, Stuttgart, GermanyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Sechtem, Udo
;
Citro, Rodolfo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp San Giovanni Dio & Ruggi dAragona, Heart Dept, Salerno, ItalyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Citro, Rodolfo
;
Underwood, S. Richard
论文数: 0引用数: 0
h-index: 0
机构:
Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Royal Brompton Hosp, NIHR Cardiovasc Biomed Res Unit, Sydney St, London SW3 6NP, EnglandUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Underwood, S. Richard
;
Sheppard, Mary N.
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h-index: 0
机构:
St Georges Univ Med Sch, Dept Cardiovasc Pathol, London, EnglandUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Sheppard, Mary N.
;
Figtree, Gemma A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Kolling Inst, North Shore Heart Res, Sydney, NSW 2006, Australia
Royal N Shore Hosp, Dept Cardiol, Sydney, NSW, AustraliaUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
机构:
Univ Paris Diderot, Inserm U942, Hop Univ St Louis Lariboisiere, Dept Anesthesiol Reanimat, Paris, FranceUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Miranda, Carlos H.
;
Braggion-Santos, Maria F.
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h-index: 0
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Braggion-Santos, Maria F.
;
Schmidt, Andre
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Schmidt, Andre
;
Pazin-Filho, Antonio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Abroug, Fekri
;
Souheil, Elatrous
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ TaharSfar, Intens Care Unit Ctr, Mahdia, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Souheil, Elatrous
;
Ouanes, Islem
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Ouanes, Islem
;
Dachraoui, Fahmi
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Dachraoui, Fahmi
;
Fekih-Hassen, Mohamed
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ TaharSfar, Intens Care Unit Ctr, Mahdia, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Fekih-Hassen, Mohamed
;
Besbes, Lamia Ouanes
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
Res Lab LR 12SP15, Monastir, TunisiaHosp Univ Fatouma Bourguiba, Intens Care Unit Ctr, Monastir, Tunisia
机构:
Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Royal Brompton Hosp, NIHR Cardiovasc Biomed Res Unit, Sydney St, London SW3 6NP, EnglandUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Lyon, Alexander R.
;
Bossone, Eduardo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Salerno, Cava Tirreni & Amalfi Coast Hosp, Div Cardiol, Heart Dept, Salerno, ItalyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Bossone, Eduardo
;
Schneider, Birke
论文数: 0引用数: 0
h-index: 0
机构:
Sana Klin Lubeck, Med Klin 2, Lubeck, GermanyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Schneider, Birke
;
Sechtem, Udo
论文数: 0引用数: 0
h-index: 0
机构:
Robert Bosch Krankenhaus, Dept Cardiol, Stuttgart, GermanyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Sechtem, Udo
;
Citro, Rodolfo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp San Giovanni Dio & Ruggi dAragona, Heart Dept, Salerno, ItalyUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Citro, Rodolfo
;
Underwood, S. Richard
论文数: 0引用数: 0
h-index: 0
机构:
Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Royal Brompton Hosp, NIHR Cardiovasc Biomed Res Unit, Sydney St, London SW3 6NP, EnglandUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Underwood, S. Richard
;
Sheppard, Mary N.
论文数: 0引用数: 0
h-index: 0
机构:
St Georges Univ Med Sch, Dept Cardiovasc Pathol, London, EnglandUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
Sheppard, Mary N.
;
Figtree, Gemma A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Kolling Inst, North Shore Heart Res, Sydney, NSW 2006, Australia
Royal N Shore Hosp, Dept Cardiol, Sydney, NSW, AustraliaUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
机构:
Univ Paris Diderot, Inserm U942, Hop Univ St Louis Lariboisiere, Dept Anesthesiol Reanimat, Paris, FranceUniv London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Miranda, Carlos H.
;
Braggion-Santos, Maria F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Braggion-Santos, Maria F.
;
Schmidt, Andre
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Schmidt, Andre
;
Pazin-Filho, Antonio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil
Univ Sao Paulo, Dept Internal Med, Div Cardiol, Sao Paulo, BrazilUniv Sao Paulo, Dept Internal Med, Div Emergency Med, Sao Paulo, Brazil