Emergency stay triggered Tako-Tsubo syndrome: A case report and review of the literature

Main Article Content

R Bougrine*
Y Hdidou
H Aissaoui
N Elouafi
N Ismaili

Abstract

Tako-Tsubo cardiomyopathy is an increasingly recognized as clinical syndrome characterized by transient apical left ventricular dysfunction.


An episode of intense emotional of physical stress is reported in many cases prior to presentation. The pathophysiology remains unknown, but high levels of circulating catecholamine are presumed to be the triggering factor and the most favored explanation for this primary acquired cardiomyopathy.


We describe the case of 48-year-old women presenting Tako-Tsubo Cardiomyopathy (CTM), triggered 4 hours later during her stay in the emergency department to manage a hypertensive emergency.

Downloads

Download data is not yet available.

Article Details

Bougrine, R., Hdidou, Y., Aissaoui, H., Elouafi, N., & Ismaili, N. (2019). Emergency stay triggered Tako-Tsubo syndrome: A case report and review of the literature. Global Journal of Medical and Clinical Case Reports, 6(2), 035–038. https://doi.org/10.17352/2455-5282.000077
Case Reports

Copyright (c) 2019 R Bougrine, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Licensing and protecting the author rights is the central aim and core of the publishing business. Peertechz dedicates itself in making it easier for people to share and build upon the work of others while maintaining consistency with the rules of copyright. Peertechz licensing terms are formulated to facilitate reuse of the manuscripts published in journals to take maximum advantage of Open Access publication and for the purpose of disseminating knowledge.

We support 'libre' open access, which defines Open Access in true terms as free of charge online access along with usage rights. The usage rights are granted through the use of specific Creative Commons license.

Peertechz accomplice with- [CC BY 4.0]

Explanation

'CC' stands for Creative Commons license. 'BY' symbolizes that users have provided attribution to the creator that the published manuscripts can be used or shared. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.

Please take in notification that Creative Commons user licenses are non-revocable. We recommend authors to check if their funding body requires a specific license.

With this license, the authors are allowed that after publishing with Peertechz, they can share their research by posting a free draft copy of their article to any repository or website.
'CC BY' license observance:

License Name

Permission to read and download

Permission to display in a repository

Permission to translate

Commercial uses of manuscript

CC BY 4.0

Yes

Yes

Yes

Yes

The authors please note that Creative Commons license is focused on making creative works available for discovery and reuse. Creative Commons licenses provide an alternative to standard copyrights, allowing authors to specify ways that their works can be used without having to grant permission for each individual request. Others who want to reserve all of their rights under copyright law should not use CC licenses.

Maron BJ, Towbin JA, Thiene G, Antzelevitch C, Corrado D, et al. (2006) Contemporary definitions and classification of the cardiomyopathies (AHA Scientific Statement). Circulation 113: 1807-1816. Link: http://bit.ly/2RRCCaF

Gianni M, Dentali F, Grandi AM, Summer G, Hiralal R, et al. (2006) Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 27: 1523-1529. Link: http://bit.ly/2tnxAZd

Sato H, Tateishi H, Uchida T, Dote K, Ishihara M (1990) Takotsubo like cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon M, editors. Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo: Kagakuhyoronsha Co 56-64.

Bybee KA, Prasad A, Barsness GW, Lerman A, Jaffe AS, et al. (2004) Clinical characteristics and thrombolysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol 94: 343-346. Link: http://bit.ly/2YSng7l

Abe Y, Kondo M (2003) Apical ballooning of the left ventricle: a distinct entity? Heart 89: 974-976. Link: http://bit.ly/34nNwHL

Tsuchihashi K, Ueshima K, Uchida T, Oh-mura N, Kimura K, et al. (2001) Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Inves Investigations in Japan. J Am Coll Cardiol 38: 11-18. Link: http://bit.ly/2Xtqsp1

Sato M, Fujita S, Saito A, Ikeda Y, Kitazawa H, et al. (2006) Increased incidence of transient left ventricular apical ballooning (so-called “takotsubo”cardiomyopathy) after mid-Niigata earthquake. Circ J 70: 947-953. Link: http://bit.ly/38I4gwD

Lipiecki J, Durel N, Decalf V (2005) Ballonisation apicale transitoire du ventricule gauche ou syndrome du tako-tsubo. Arch Mal Coeur Vaiss 98: 275-280.

El Mahmoud R, Mansencal N, Pilliere R, Leyer F, Abbou N, et al. (2008) Prevalence and characteristics of left ventricular outflow tract obstruction in Tako-Tsubo syndrome. Am Heart J 156: 543-548. Link: http://bit.ly/38I0aok

Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, et al. (2005) Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 352: 539-548. Link: http://bit.ly/2Q1URYv

Sharkey SW, Lesser JR, Zenovich AG, Maron MS, Lindberg J, et al. (2005) Acute and reversible cardiomyopathy provoked by stress inwomen from the United States. Circulation 111: 472-479. Link: http://bit.ly/37lavpJ

Nef HM, Mollmann H, Kostin S, Troidl C, Voss S, et al. (2007) Tako- Tsubo cardiomyopathy: intraindividual structural analysis in the acute phase and after functional recovery. Eur Heart J 28: 2456-2464. Link: http://bit.ly/36OJsC7

Mansencal N, Abbou N, Pillière R, El Mahmoud R, Farcot JC, et al. (2009) Usefulness of two-dimensional speckle tracking echocardiography for assessment of Tako- Tsubo cardiomyopathy. Am J Cardiol 103: 1020-1024. Link: http://bit.ly/34qFWMy

Lyon AR, Rees PS, Prasad S, Poole-Wilson PA, Harding SE (2008) Stress (Takotsubo) cardiomyopathy– a novel pathophysiological hypothesis to explain catecholamine-induced acute myocardial stunning. Nat Clin Pract Cardiovasc Med 5: 22-29. Link: http://bit.ly/2QuwWT3

Gray MA, Taggart P, Sutton PM, Groves D, Holdright DR, et al. (2007) A cortical potential reflectng cardiac function. Proc Natl Acad Sci U S A 104: 6818-6823. Link: http://bit.ly/35pD97J

Zaroff JG, Pawlikowska L, Miss JC, Yarlagadda S, Ha C, et al. (2006) Adrenoceptor polymorphisms and the risk of cardiac injury and dysfunction after subarachnoid hemorrhage. Stroke 37: 1680-1685. Link: http://bit.ly/2LVCuTt

Meimoun P, Malaquin D, Sayah S, Benali T, Luycx-Bore A, et al. (2008) The coronary flow reserve is transiently impaired in tako-tsubo cardiomyopathy: a prospective study using serial Doppler transthoracic echocardiography. J Am Soc Echocardiogr 21: 72-77. Link: http://bit.ly/2Ek1DTE

Pilgrim TM, Wyss TR (2008) Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: a systematic review. Int J Cardiol 124: 283-292. Link: http://bit.ly/2M0aFcZ

Eitel I, von Knobelsdorff-Brenkenhoff F, Bernhardt P, Carbone I, Muellerleile K, et al. (2011) Clinical characteristics and cardiovascular magnetic resonance findings in stress (takotsubo) cardiomyopathy. JAMA 306: 277-286. Link: http://bit.ly/2PoXfsT