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Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness
Patient: Male, 58-year-old Final Diagnosis: Takotsubo cardiomyopathy Symptoms: Dyspena Medication:— Clinical Procedure: — Specialty: Cardiology OBJECTIVE: Rare co-existance of disease or pathology BACKGROUND: Takotsubo cardiomyopathy is characterized by a transient left ventricular dysfunction witho...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998788/ https://www.ncbi.nlm.nih.gov/pubmed/31959739 http://dx.doi.org/10.12659/AJCR.920461 |
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author | Kansara, Tikal Dumancas, Carissa Neri, Octavio Feizi Mene-Afejuku, Tuoyo O. Akinlonu, Adedoyin Mushiyev, Savi Pekler, Gerald Visco, Ferdinand |
author_facet | Kansara, Tikal Dumancas, Carissa Neri, Octavio Feizi Mene-Afejuku, Tuoyo O. Akinlonu, Adedoyin Mushiyev, Savi Pekler, Gerald Visco, Ferdinand |
author_sort | Kansara, Tikal |
collection | PubMed |
description | Patient: Male, 58-year-old Final Diagnosis: Takotsubo cardiomyopathy Symptoms: Dyspena Medication:— Clinical Procedure: — Specialty: Cardiology OBJECTIVE: Rare co-existance of disease or pathology BACKGROUND: Takotsubo cardiomyopathy is characterized by a transient left ventricular dysfunction without obstructive coronary artery disease that mimics an acute myocardial infarction. The electrocardiogram findings of Takotsubo cardiomyopathy usually present with ST-segment elevation or depression, T-wave inversion, left bundle branch block or high-grade atrioventricular block. CASE REPORT: This is a report of a case of a 58-year-old male diagnosed with Takotsubo cardiomyopathy that occurred in the setting of an acute asthma exacerbation and psychiatric exacerbation with novel electrocardiogram findings of right bundle branch block. Transthoracic echocardiogram showed a preserved ejection fraction with left ventricular apical ballooning and hyperkinesis of the basal segments. The nuclear stress test showed a fixed per-fusion defect at the apical segment, but the patient refused further testing such as coronary angiography. The patient was managed medically, and a repeat echocardiogram done after 8 weeks from discharge showed a complete resolution of the apical ballooning. CONCLUSIONS: It is important to recognize that patients with psychiatric illness and asthma exacerbation are predisposed to develop Takotsubo cardiomyopathy. It is also reasonable to suspect Takotsubo cardiomyopathy in the presence of new electrocardiogram findings aside from those typically seen in acute myocardial infarction, especially if it is associated with apical ballooning. |
format | Online Article Text |
id | pubmed-6998788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-69987882020-02-13 Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness Kansara, Tikal Dumancas, Carissa Neri, Octavio Feizi Mene-Afejuku, Tuoyo O. Akinlonu, Adedoyin Mushiyev, Savi Pekler, Gerald Visco, Ferdinand Am J Case Rep Articles Patient: Male, 58-year-old Final Diagnosis: Takotsubo cardiomyopathy Symptoms: Dyspena Medication:— Clinical Procedure: — Specialty: Cardiology OBJECTIVE: Rare co-existance of disease or pathology BACKGROUND: Takotsubo cardiomyopathy is characterized by a transient left ventricular dysfunction without obstructive coronary artery disease that mimics an acute myocardial infarction. The electrocardiogram findings of Takotsubo cardiomyopathy usually present with ST-segment elevation or depression, T-wave inversion, left bundle branch block or high-grade atrioventricular block. CASE REPORT: This is a report of a case of a 58-year-old male diagnosed with Takotsubo cardiomyopathy that occurred in the setting of an acute asthma exacerbation and psychiatric exacerbation with novel electrocardiogram findings of right bundle branch block. Transthoracic echocardiogram showed a preserved ejection fraction with left ventricular apical ballooning and hyperkinesis of the basal segments. The nuclear stress test showed a fixed per-fusion defect at the apical segment, but the patient refused further testing such as coronary angiography. The patient was managed medically, and a repeat echocardiogram done after 8 weeks from discharge showed a complete resolution of the apical ballooning. CONCLUSIONS: It is important to recognize that patients with psychiatric illness and asthma exacerbation are predisposed to develop Takotsubo cardiomyopathy. It is also reasonable to suspect Takotsubo cardiomyopathy in the presence of new electrocardiogram findings aside from those typically seen in acute myocardial infarction, especially if it is associated with apical ballooning. International Scientific Literature, Inc. 2020-01-21 /pmc/articles/PMC6998788/ /pubmed/31959739 http://dx.doi.org/10.12659/AJCR.920461 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Kansara, Tikal Dumancas, Carissa Neri, Octavio Feizi Mene-Afejuku, Tuoyo O. Akinlonu, Adedoyin Mushiyev, Savi Pekler, Gerald Visco, Ferdinand Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness |
title | Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness |
title_full | Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness |
title_fullStr | Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness |
title_full_unstemmed | Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness |
title_short | Rare Association of Takotsubo Cardiomyopathy with Right Bundle Branch Block in the Dual Setting of Asthma Exacerbation and Psychiatric Illness |
title_sort | rare association of takotsubo cardiomyopathy with right bundle branch block in the dual setting of asthma exacerbation and psychiatric illness |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998788/ https://www.ncbi.nlm.nih.gov/pubmed/31959739 http://dx.doi.org/10.12659/AJCR.920461 |
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