Case Report: My lung broke my heart! Takotsubo cardiomyopathy due to pneumonia [version 1; peer review: 1 approved, 2 approved with reservations]

Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a cardiac syndrome that often mimics acute myocardial infarction. TTC is commonly triggered by physical or emotional stress; however, acute infection is a rarer etiology. This report concerns the case of an 82-year-old f...

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Bibliographic Details
Published in:F1000 research 2018, Vol.7, p.518
Main Authors: Ahmed, Navid, Gandhi, Himali, Sims, Daniel B.
Format: Article
Language:English
Subjects:
Angiography
Cardiology
Cardiomyopathy
Cardiovascular disease
Case Report
Case reports
Chest
Coronary artery
Coronary vessels
Cough
Creatinine
Dementia
Echocardiography
EKG
Electrocardiography
eng
Etiology
Fever
Geriatrics
Heart
Heart attacks
Heart diseases
Heart failure
Infections
Medical imaging
Myocardial infarction
Nursing homes
Pain
Patients
Pneumonia
Sepsis
Stents
Takotsubo cardiomyopathy
Ultrasonic imaging
Vein & artery diseases
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Summary:Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a cardiac syndrome that often mimics acute myocardial infarction. TTC is commonly triggered by physical or emotional stress; however, acute infection is a rarer etiology. This report concerns the case of an 82-year-old female who presented with non-positional and non-pleuritic chest pain, with an associated fever and cough and chest x-ray findings consistent with pneumonia. Cardiac enzymes and ECG findings were consistent with acute coronary syndrome (ACS); however, during coronary angiography, no coronary artery disease could explain the patient's ACS. A post-catheterization echocardiogram revealed an ejection fraction of 25%, with apical akinesis. A repeat echocardiogram 4 weeks after presentation showed a normal EF and normal wall motion, confirming a diagnosis of TTC.
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.14546.1