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Down on your luck: cardiomyopathy precipitated by a bar fight

Takotsubo cardiomyopathy is characterized by transient loss of systolic function in the absence of coronary artery disease. It is significantly more common in post-menopausal women and is typically brought on by intense emotional stress. Pathophysiology is not completely elucidated, but it appears t...

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Autores principales: Meyer, Chloe Grace, Gabasha, Shayef, Gurujal, Ravi, Vacek, Thomas Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961424/
https://www.ncbi.nlm.nih.gov/pubmed/29876122
http://dx.doi.org/10.1093/omcr/omy012
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author Meyer, Chloe Grace
Gabasha, Shayef
Gurujal, Ravi
Vacek, Thomas Paul
author_facet Meyer, Chloe Grace
Gabasha, Shayef
Gurujal, Ravi
Vacek, Thomas Paul
author_sort Meyer, Chloe Grace
collection PubMed
description Takotsubo cardiomyopathy is characterized by transient loss of systolic function in the absence of coronary artery disease. It is significantly more common in post-menopausal women and is typically brought on by intense emotional stress. Pathophysiology is not completely elucidated, but it appears to be related, in part, to excess catecholamine; this results in coronary artery vasospasm, ischemia and eventual ventricular dysfunction. Patient presentation can vary widely, but typically presents similar to acute coronary syndrome. Management involves acute stabilization and monitoring, as well as guideline-directed medical therapy for heart failure. We report a very unique case of a healthy male patient presenting with nonanginal symptoms of racing heart, who was found to have cardiomyopathy following a physical encounter. This case serves to bring into awareness that intense physical encounters may be sufficient to induce cardiomyopathy without presenting angina.
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spelling pubmed-59614242018-06-06 Down on your luck: cardiomyopathy precipitated by a bar fight Meyer, Chloe Grace Gabasha, Shayef Gurujal, Ravi Vacek, Thomas Paul Oxf Med Case Reports Case Report Takotsubo cardiomyopathy is characterized by transient loss of systolic function in the absence of coronary artery disease. It is significantly more common in post-menopausal women and is typically brought on by intense emotional stress. Pathophysiology is not completely elucidated, but it appears to be related, in part, to excess catecholamine; this results in coronary artery vasospasm, ischemia and eventual ventricular dysfunction. Patient presentation can vary widely, but typically presents similar to acute coronary syndrome. Management involves acute stabilization and monitoring, as well as guideline-directed medical therapy for heart failure. We report a very unique case of a healthy male patient presenting with nonanginal symptoms of racing heart, who was found to have cardiomyopathy following a physical encounter. This case serves to bring into awareness that intense physical encounters may be sufficient to induce cardiomyopathy without presenting angina. Oxford University Press 2018-05-17 /pmc/articles/PMC5961424/ /pubmed/29876122 http://dx.doi.org/10.1093/omcr/omy012 Text en © The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com https://academic.oup.com/journals/pages/about_us/legal/notices This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/about_us/legal/notices)
spellingShingle Case Report
Meyer, Chloe Grace
Gabasha, Shayef
Gurujal, Ravi
Vacek, Thomas Paul
Down on your luck: cardiomyopathy precipitated by a bar fight
title Down on your luck: cardiomyopathy precipitated by a bar fight
title_full Down on your luck: cardiomyopathy precipitated by a bar fight
title_fullStr Down on your luck: cardiomyopathy precipitated by a bar fight
title_full_unstemmed Down on your luck: cardiomyopathy precipitated by a bar fight
title_short Down on your luck: cardiomyopathy precipitated by a bar fight
title_sort down on your luck: cardiomyopathy precipitated by a bar fight
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961424/
https://www.ncbi.nlm.nih.gov/pubmed/29876122
http://dx.doi.org/10.1093/omcr/omy012
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