Takotsubo (stress) cardiomyopathy induced by acute asthma exacerbation in elderly woman

A 73‐year‐old patient who was admitted secondary to acute asthma exacerbation that required frequent salbutamol and adrenaline nebulization. Takotsubo cardiomyopathy (TTC) was diagnosed after the new onset of chest pain with modest troponin elevation and normal coronary angiogram. Low ejection fract...

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Bibliographic Details
Published in:Clinical case reports 2023-03, Vol.11 (3), p.e7074-n/a
Main Authors: Al Khodari, Khaled, Alhaj Tahtouh, Raad, Abdullatef, Waleed K., Al Khodari, Mouaz
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Akinesia
Asthma
asthma exacerbation
Beta blockers
Cardiomyopathy
Cardiovascular disease
Case Report
Catecholamines
Chronic obstructive pulmonary disease
Consent
Coronary vessels
Ejection fraction
Electrocardiography
Hospitals
left ventricular dysfunction
Patients
Respiratory diseases
stress cardiomyopathy
sympathomimetic drugs
takotsubo cardiomyopathy
Writing
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Summary:A 73‐year‐old patient who was admitted secondary to acute asthma exacerbation that required frequent salbutamol and adrenaline nebulization. Takotsubo cardiomyopathy (TTC) was diagnosed after the new onset of chest pain with modest troponin elevation and normal coronary angiogram. Low ejection fraction and apical akinesia were completely resolved after her symptoms got improved. Physical stressors, like acute illnesses, can trigger takotsubo cardiomyopathy (TTC). Excessive exposure to inhaled sympathomimetic agents, such as adrenaline or salbutamol, increase the risk of takotsubo cardiomyopathy (TTC). Tight asthma control is important to minimize the risk of severe complications related to the disease itself and its management.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.7074