Case report: My lung broke my heart! Takotsubo cardiomyopathy due to pneumonia [version 1; peer review: Awaiting peer review]

Navid Ahmed, Himali Gandhi, Daniel B. Sims

Research output: Contribution to journalArticle

Abstract

Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a cardiac syndrome that often mimics acute myocardial infarction. TTC is commonly triggered by physical or emotional stress; however, acute infection is a rarer etiology. This report concerns the case of an 82-year-old female who presented with non-positional and non-pleuritic chest pain, with an associated fever and cough and chest x-ray findings consistent with pneumonia. Cardiac enzymes and ECG findings were consistent with acute coronary syndrome (ACS); however, during coronary angiography, no coronary artery disease could explain the patient’s ACS. A post-catheterization echocardiogram revealed an ejection fraction of 25%, with apical akinesis. A repeat echocardiogram 4 weeks after presentation showed a normal EF and normal wall motion, confirming a diagnosis of TTC.

Original languageEnglish (US)
Article number518
JournalF1000Research
Volume7
DOIs
StatePublished - Jan 1 2018

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Keywords

  • Cardiology
  • Geriatrics
  • Heart failure
  • Pneumonia
  • Sepsis
  • Takotsubo cardiomyopathy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)
  • Pharmacology, Toxicology and Pharmaceutics(all)

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