Unusual Sequence of Events in a Case of Takotsubo Syndrome
Joint Authors
Sadiq, Adnan
Shani, Jacob
Henriquez, C.
Landau, R.
Sabharwal, N.
Rodriguez, D.
Virparia, V.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 73-year-old female with multiple comorbidities including coronary artery disease was admitted for an elective PCI of a lesion detected in the RCA.
On the day of the planned PCI, shortly after right femoral artery cannulation, the patient developed a sudden complete heart block requiring the administration atropine and insertion of a temporary pacemaker.
Concomitantly, the patient developed acute pulmonary edema, hypotension, and hypoxia requiring intubation for mechanical ventilation.
Vasopressors were administered.
A coronary angiogram showed patent left and right coronary arteries, unchanged when compared to the previous angiogram.
An echocardiogram performed in the cardiac catheterization lab revealed global hypokinesis of the left and right ventricles, with severe LV systolic dysfunction (EF<20%).
Following an insertion of an intra-aortic balloon pump, the patient was transferred to the CICU.
A repeat echocardiogram in the CICU two hours later revealed a classical echocardiographic presentation of Takotsubo syndrome, apical hypokinesis.
By the next morning the patient’s hemodynamic status significantly improved, the balloon pump was removed, and vasopressors were discontinued.
Another echocardiogram was performed 24 hours after the event occurred and revealed a marked improvement in LV systolic function (EF 60%), with complete resolution of apical and septal wall motion abnormalities.
Three days after the event, the patient was successfully discharged and asymptomatic at two-month follow-up.
This case illustrates an atypical presentation of Takotsubo syndrome that was witnessed from onset to its complete resolution during the patient’s hospital stay.
American Psychological Association (APA)
Henriquez, C.& Landau, R.& Sabharwal, N.& Rodriguez, D.& Virparia, V.& Sadiq, Adnan…[et al.]. 2018. Unusual Sequence of Events in a Case of Takotsubo Syndrome. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1141030
Modern Language Association (MLA)
Henriquez, C.…[et al.]. Unusual Sequence of Events in a Case of Takotsubo Syndrome. Case Reports in Cardiology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1141030
American Medical Association (AMA)
Henriquez, C.& Landau, R.& Sabharwal, N.& Rodriguez, D.& Virparia, V.& Sadiq, Adnan…[et al.]. Unusual Sequence of Events in a Case of Takotsubo Syndrome. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1141030
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141030