Dataset Information

Takotsubo cardiomyopathy occurring during the recovery period of dobutamine stress echocardiography.

ABSTRACT: An 83-year-old Caucasian female was referred for dobutamine stress echocardiography. At peak dobutamine stress, no chest pain was elicited, and there were no ischemic electrocardiographic changes or inducible wall motion abnormalities. During recovery, however, the patient experienced chest burning, and ST-elevations were seen on recovery electrocardiography. Moreover, distal inferior and apical akinesis developed during recovery echocardiography. The patient was referred for coronary angiography, revealing apical akinesis and no obstructive stenoses. A follow-up echocardiogram 2 weeks later showed recovery of the "ballooned" segments. To our knowledge, this report is the third case of Takotsubo cardiomyopathy occurring during the recovery phase of dobutamine stress echocardiography.

SUBMITTER: Ho JS

PROVIDER: S-EPMC6265429 | biostudies-literature | 2012 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Takotsubo cardiomyopathy occurring during the recovery period of dobutamine stress echocardiography.

Ho John S JS Rahl Riva L RL Cannaday John J JJ Patel Reena R Engstrom Addie A Henderson Yvette L YL Ramsay Maureen M

Journal of cardiology cases 20120419 3

An 83-year-old Caucasian female was referred for dobutamine stress echocardiography. At peak dobutamine stress, no chest pain was elicited, and there were no ischemic electrocardiographic changes or inducible wall motion abnormalities. During recovery, however, the patient experienced chest burning, and ST-elevations were seen on recovery electrocardiography. Moreover, distal inferior and apical akinesis developed during recovery echocardiography. The patient was referred for coronary angiograph ...[more]

PMID: 30532928

Similar Datasets

Project description:BACKGROUND: Takotsubo cardiomyopathy is a novel, yet well-described, reversible cardiomyopathy triggered by profound psychological or physical stress with a female predominance. OBJECTIVE: This review is designed to increase general clinician awareness about the diagnosis, incidence, pathogenesis, and therapies of this entity. DATA SOURCES: A complete search of multiple electronic databases (Pubmed, EMBASE, Science Citation Index) was carried out to identify all full-text, English-language articles published from 1980 to the present date and relevant to this review. REVIEW METHODS: The following search terms were used: takotsubo cardiomyopathy, stress-induced cardiomyopathy, and left ventricular apical ballooning syndrome. Citation lists from identified articles were subsequently reviewed and pertinent articles were further identified. RESULTS: Takotsubo cardiomyopathy is typically characterized by the following: 1) acute onset of ischemic-like chest pain or dyspnea, 2) transient apical and mid-ventricular regional wall-motion abnormality, 3) minor elevation of cardiac biomarkers, 4) dynamic electrocardiographic changes, and 5) the absence of epicardial coronary artery disease. The pathogenesis of the syndrome is unknown but has mostly been associated with acute emotional or physiologic stressors. Dote, Sato, Tateishi, Uchida, Ishihara (J Cardiol. 21(2):203-214, 1991); Desmet, Adriaenssens, Dens (Heart. 89(9):1027-1031, Sep., 2003); Bybee, Kara, Prasad, et al. (Ann Intern Med. 141(11):858-865, Dec 7, 2004); Sharkey, Lesser, Zenovich, et al. (Circulation. 111(4):472-479, Feb 1, 2005) The short and long-term prognosis of these patients is overwhelmingly favorable and often only requires supportive therapy. CONCLUSION: Whether an emotional or physical event precedes one's symptoms, it is apparent that takotsubo cardiomyopathy case presentations mimic ST-segment elevation myocardial infarction, and thus is an important entity to be recognized by the medical community.

Dataset Information

Takotsubo cardiomyopathy occurring during the recovery period of dobutamine stress echocardiography.

Publications

Takotsubo cardiomyopathy occurring during the recovery period of dobutamine stress echocardiography.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure