TAKOTSUBO CARDIOMYOPATHY: A CASE REPORT

被引:0
作者
Baradol, Krishna M. [1 ]
Zalaki, Vijaykumar C. [1 ]
Khonkhoni, Mohammed Ghouse [1 ]
Ladhad, Dharmesh A. [1 ]
机构
[1] Vaatsalya Hosp, Dept Crit Care Med, Hubli, Karnataka, India
来源
JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS | 2014年 / 3卷 / 38期
关键词
Takotsubo cardiomyopathy; stress cardiomyopathy; ampulla cardiomyopathy; broken heart syndrome;
D O I
10.14260/jemds/2014/3272
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Takotsubo cardiomyopathy is a condition caused by intense emotional or physical stress leading to rapid and severe reversible cardiac dysfunction. A 44 year old labourer presented with three days old bilateral traumatic fracture of femur and severe respiratory distress; he was ventilated for one day. Echocardiography ruled out pulmonary embolism. Patient remained stable for the next three days. On the fifth day, he appeared fearful, presented with sudden chest pain, tachycardia and hypotension. Echocardiography revealed ejection fraction of 34%, global hypokinesia of left ventricle with apical ballooning and no regional wall motion abnormalities. Coronary angiography was done which revealed no vascular abnormalities. Diagnosis of Takotsubo cardiomyopathy was made and vasopressors were started. Psychiatric treatment of physical and emotional stress was done. Patient gradually improved with ongoing treatment and on eighth day his cardiac function reverted back to normal. Takotsubo cardiomyopathy can be efficiently managed by early recognition, proper supportive treatment and meticulous management of physical and emotional stress.
引用
收藏
页码:9824 / 9828
页数:5
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