Perfect storm along the neuro-cardiac axis: stroke complicated by acute biventricular dysfunction—Takotsubo syndrome or neurogenic stress cardiomyopathy?

Acute biventricular dysfunction complicating acute ischaemic stroke poses diagnostic and therapeutic challenges with respect to anticoagulation and short-term and long-term prognosis. We present the uncommon case of an elderly patient presenting with this clinical scenario, who made a full recovery...

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Bibliographic Details
Published in:BMJ case reports 2021-04, Vol.14 (4), p.e243059
Main Authors: Jackson, Meghan, Nosib, Shravan
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Aged
Brain Ischemia
Cardiomyopathy
Cardiovascular disease
Case Report
Case reports
Catecholamines
Coronary vessels
Diabetic neuropathy
Ejection fraction
Emergency medical care
Heart
Heart failure
Hospitals
Humans
Pain
Patients
Stroke
Stroke - complications
Stroke - diagnosis
Takotsubo Cardiomyopathy - complications
Takotsubo Cardiomyopathy - diagnosis
Thromboembolism
Ultrasonic imaging
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Description
Summary:Acute biventricular dysfunction complicating acute ischaemic stroke poses diagnostic and therapeutic challenges with respect to anticoagulation and short-term and long-term prognosis. We present the uncommon case of an elderly patient presenting with this clinical scenario, who made a full recovery on conservative therapy. Management strategies are discussed and the emerging topic of neuro-cardiac syndromes, namely neurogenic stress cardiomyopathy as distinct from Takotsubo syndrome, is explored.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-243059