Recurrent Takotsubo Syndrome Due to Hypoglycemic Attacks

Takotsubo syndrome (TTS) is a disorder with transient cardiac dysfunction triggered by stress. Rarely, hypoglycemia can also trigger TTS, but there are no case reports of repeated TTS due to hypoglycemia. We report the case of a 51-year-old Japanese woman who was brought to the emergency department...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-12, Vol.14 (12), p.e32527
Main Authors: Itagaki, Hideya, Abe, Yoshinobu, Endo, Tomoyuki
Format: Article
Language:English
Subjects:
Anorexia
Blood pressure
Blood tests
Cardiovascular disease
Case reports
Catecholamines
Coma
Consciousness
Electrocardiography
Emergency medical care
Endocrinology/Diabetes/Metabolism
Glucose
Heart
Hospitalization
Hypertension
Hypoglycemia
Hypotension
Lipoproteins
Nervous system
Patients
Pharmaceuticals
Triglycerides
Ultrasonic imaging
Vital signs
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Summary:Takotsubo syndrome (TTS) is a disorder with transient cardiac dysfunction triggered by stress. Rarely, hypoglycemia can also trigger TTS, but there are no case reports of repeated TTS due to hypoglycemia. We report the case of a 51-year-old Japanese woman who was brought to the emergency department with impaired consciousness and shock vitals. Blood tests revealed severe hypoglycemia. She also had an abnormal electrocardiogram with a QS pattern in the anterior thoracic guidance, which led to the diagnosis of TTS after repeated echocardiographic evaluation by a cardiologist. The diagnosis of hypoglycemic coma was made, and the patient was admitted to the intensive care unit (ICU). The patient had anorexia nervosa and had been suffering from a hypoglycemic coma due to anorexia for some time. The patient had a history of hypoglycemic coma about one year before and had been hospitalized in the ICU with TTS at that time. We report the world's first case of repeated TTS due to hypoglycemia. Since hypoglycemia is hemodynamically associated with increased heart rate and systolic blood pressure, TTS should be included in the differential diagnosis when shock vitals are repeated in patients with frequent hypoglycemia.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.32527