Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens

Reverse takotsubo cardiomyopathy (rTTC) is a rare variant of takotsubo cardiomyopathy (TTC) which is characterized by reversible left ventricular (LV) dysfunction. Emotional and physical stress have been implicated in triggering TTC especially in postmenopausal women. TTC and its variants are becomi...

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Bibliographic Details
Published in:Case reports in cardiology 2022-06, Vol.2022, p.1-6
Main Authors: Echefu, Gift, Hammett, Daniel, Ausef, Amir, LaMotte, Lance
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Cardiac arrhythmia
Cardiomyopathy
Case Report
Case reports
Catecholamines
Coronary vessels
Ejection fraction
Electrocardiography
Heart attacks
Hemodynamics
Hypotension
Laboratories
Malnutrition
Medical imaging
Pain
Patients
Pulmonary embolisms
Thromboembolism
Thrombosis
Veins & arteries
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Summary:Reverse takotsubo cardiomyopathy (rTTC) is a rare variant of takotsubo cardiomyopathy (TTC) which is characterized by reversible left ventricular (LV) dysfunction. Emotional and physical stress have been implicated in triggering TTC especially in postmenopausal women. TTC and its variants are becoming more recognized due to the widespread adoption of early coronary angiography in the setting of acute coronary syndromes. A man in his late 50s presented to the emergency department with left lower extremity pain, swelling, and cyanosis. Clinical assessment was consistent with phlegmasia cerulea dolens, with deep venous thrombosis detected by venous duplex ultrasound. During his admission, he developed clinical and EKG findings suggestive of acute coronary syndrome. Emergent coronary angiography and ventriculography revealed basal and midventricular hypokinesis with hyperdynamic left ventricular apex, depressed LV dysfunction without coronary artery obstruction diagnostic of reverse takotsubo cardiomyopathy. Venous thromboembolism is a rare finding but has been associated with takotsubo cardiomyopathy and should be considered in the appropriate setting.
ISSN:2090-6404
2090-6412
DOI:10.1155/2022/5413237