Takotsubo Cardiomyopathy in a Patient with Preexisting Hypertrophic Cardiomyopathy

Takotsubo cardiomyopathy (TCM) is a condition characterized by transient left ventricular dysfunction and apical ballooning, best seen on an echocardiogram or left ventriculogram. It mimics acute myocardial infarction but without evidence of coronary artery disease on an angiogram. Hypertrophic card...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2018-11, Vol.10 (11), p.e3579
Main Authors: Elhosseiny, Sherif, Spagnola, Jonathon, Royzman, Roman, Lafferty, James, Bogin, Marc
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Cardiology
Cardiomyopathy
Cardiovascular disease
Case reports
Coronary vessels
Dyspnea
Electrocardiography
Family medical history
Health surveillance
Heart attacks
Heart failure
Intubation
Pain
Patients
Ultrasonic imaging
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Summary:Takotsubo cardiomyopathy (TCM) is a condition characterized by transient left ventricular dysfunction and apical ballooning, best seen on an echocardiogram or left ventriculogram. It mimics acute myocardial infarction but without evidence of coronary artery disease on an angiogram. Hypertrophic cardiomyopathy (HCM) is an autosomal dominant heart muscle disease that is significant with hypertrophy of the left ventricle with various morphologies. We hereby report a case of TCM in a male patient with a known history of HCM. The patient's hemodynamic findings were challenging because the TCM produced an increased left ventricular outflow tract (LVOT) gradient that was previously not seen on his prior echocardiogram or cardiac catheterizations. Assessment and continuous monitoring are warranted in such a rare case. Supportive care afterward with beta blockers, along with echocardiogram surveillance, are the mainstay of management of such a patient.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.3579