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A Case Report of Recurrent Takotsubo Cardiomyopathy in a Patient during Myasthenia Crisis
Joint Authors
Mullaguri, Naresh
Battineni, Anusha
Thanki, Shail
Govindarajan, Raghav
Chockalingam, A.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-19
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Patients with myasthenia crisis can develop Takotsubo stress cardiomyopathy (SC) due to emotional or physical stress and high level of circulating catecholamines.
We report a patient who developed recurrent Takotsubo cardiomyopathy during myasthenia crisis.
Coexisting autoimmune disorders known to precipitate stress cardiomyopathy like Grave’s disease need to be evaluated.
Case Report.
A 69-year-old female with seropositive myasthenia gravis (MG), Grave’s disease, and coronary artery disease on monthly infusion of intravenous immunoglobulin (IVIG), prednisone, pyridostigmine, and methimazole presented with shortness of breath and chest pain.
Electrocardiogram (ECG) showed ST elevation in anterolateral leads with troponemia.
Coronary angiogram was unremarkable for occlusive coronary disease with left ventriculogram showing reduced wall motion with apical and mid left ventricle (LV) hypokinesis suggestive of Takotsubo stress cardiomyopathy.
Her symptoms were attributed to MG crisis.
Her symptoms, ECG, and echocardiographic findings resolved after five cycles of plasma exchange (PLEX).
She had another similar episode one year later during myasthenia crisis with subsequent resolution in 10 days after PLEX.
Conclusion.
Takotsubo cardiomyopathy can be one of the manifestations of myasthenia crisis with or without coexisting Grave’s disease.
These patients might benefit from meticulous fluid status and cardiac monitoring while administering rescue treatments like IVIG and PLEX.
American Psychological Association (APA)
Battineni, Anusha& Mullaguri, Naresh& Thanki, Shail& Chockalingam, A.& Govindarajan, Raghav. 2017. A Case Report of Recurrent Takotsubo Cardiomyopathy in a Patient during Myasthenia Crisis. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144388
Modern Language Association (MLA)
Battineni, Anusha…[et al.]. A Case Report of Recurrent Takotsubo Cardiomyopathy in a Patient during Myasthenia Crisis. Case Reports in Critical Care No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1144388
American Medical Association (AMA)
Battineni, Anusha& Mullaguri, Naresh& Thanki, Shail& Chockalingam, A.& Govindarajan, Raghav. A Case Report of Recurrent Takotsubo Cardiomyopathy in a Patient during Myasthenia Crisis. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144388
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144388