Gastrointestinal Pain Suspected a Stressor Leading to the Onset of Takotsubo Cardiomyopathy: A Case Report.
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Date
2014-05-01
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Abstract
Aims: To investigate a case of the mid-ventricular variant of Takotsubo cardiomyopathy
(TTC), stress-induced cardiomyopathy, and evaluate if gastrointestinal pain may also
contribute to this cardiomyopathy.
Presentation of Case: A 73-year-old female was admitted for severe abdominal pain,
found to have positive cardiac biomarkers and ischemic ECG changes and was
diagnosed with mid-ventricular TTC after non-invasive and invasive investigation.
Discussion: There are many variants of TTC that was found in a literature review. We
demonstrated a unique variant of TTC that occurred of a significant emotional stressor
with acute abdominal pain.
Conclusion: Not much detail is known about the variants TTC. Investigators must
continue to study TTC so that physicians can more effectively diagnose, treat, and
manage patients who present the condition. We suspect that gastrointestinal illness was
the physical stressor that contributed to the onset of our patients TTC in a setting of
ongoing emotional distress and should be on the differential as an eitology.
Description
Keywords
Takotsubo cardiomyopathy, stress-induced cardiomyopathy, broken heart syndrome
Citation
Shah Roshni, Azkoul Winniam, Cole Daniel, David Mourad, David Shukri. Gastrointestinal Pain Suspected a Stressor Leading to the Onset of Takotsubo Cardiomyopathy: A Case Report. British Journal of Medicine and Medical Research. 2014 May; 4(13): 2621-2626.