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Tale of a tube and a pot - A case of Takotsubo cardiomyopathy occurring after MRI

2016; Elsevier BV; Volume: 225; Linguagem: Inglês

10.1016/j.ijcard.2016.09.113

1874-1754

Hemant Goyal, Umesh Singla, James D. Lawrence, David C. Parish,

Cardiac Structural Anomalies and Repair

Takotsubo cardiomyopathy (TCM) is stress induced cardiac dysfunction which is being increasingly recognized [ [1] Minhas A.S. Hughey A.B. Kolias T.J. Nationwide trends in reported incidence of Takotsubo cardiomyopathy from 2006 to 2012. Am. J. Cardiol. 2015 Oct 1; 116: 1128-1131 Abstract Full Text Full Text PDF PubMed Scopus (49) Google Scholar ] in patients with physical or neuropsychological stress. This cardiomyopathy receives its name from a Japanese word 'takotsubo' which means an "octopus pot" resembling the shape of the left ventricle during systole on imaging studies of the heart. TCM is a transient systolic dysfunction of the apical and/or midsegments of the heart, which mimics myocardial infarction, but in the absence of obstructive coronary artery disease. Its diagnosis should be suspected in postmenopausal women who present with symptoms of acute coronary syndrome (ACS) after intense psychological stress in whom the clinical manifestations and electrocardiogram abnormalities are out of proportion to the degree of elevation in cardiac biomarkers [ 2 Lyon A.R. Bossone E. Schneider B. Sechtem U. Citro R. Underwood S.R. Sheppard M.N. Figtree G.A. Parodi G. Akashi Y.J. Ruschitzka F. Filippatos G. Mebazaa A. Omerovic E. Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur. J. Heart Fail. 2016 Jan; 18: 8-27 Crossref PubMed Scopus (633) Google Scholar , 3 Templin C. Ghadri J.R. Diekmann J. Napp L.C. Bataiosu D.R. Jaguszewski M. Clinical features and outcomes of Takotsubo (Stress) cardiomyopathy. N. Engl. J. Med. 2015 Sep 3; 373: 929-938 Crossref PubMed Scopus (1326) Google Scholar ]. Here, we present a case of TCM occurring in a patient after MRI which is a first reported case of its kind in literature.