Atypical Takotsubo Cardiomyopathy Precipitated by Gastrointestinal Bleeding: Review of the Pathophysiology.

atypical takotsubo cardiomyopathy gastrointestinal bleed left ventricular dysfunction stress induced cardiomyopathy

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Feb 2023
Historique:
accepted: 31 01 2023
entrez: 6 3 2023
pubmed: 7 3 2023
medline: 7 3 2023
Statut: epublish

Résumé

Stress-induced cardiomyopathy, otherwise known as takotsubo cardiomyopathy, typically presents with chest pain and acute left ventricular failure with unobstructed coronary arteries. There is an increase in disease incidence as clinicians are becoming more aware of this clinical entity. An atypical variant exists where there is left ventricular dysfunction with apical sparing. Various precipitants have been described in the literature, however, there has not been any documented case following massive gastrointestinal bleeding. We report an atypical variant of takotsubo cardiomyopathy following a gastrointestinal bleed with review of the pathophysiologic mechanisms behind the disease process.

Identifiants

pubmed: 36874316
doi: 10.7759/cureus.34515
pmc: PMC9981546
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e34515

Informations de copyright

Copyright © 2023, Etuk et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

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Endocrinol Diabetes Metab Case Rep. 2017 Feb 15;2017:
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Medeni Med J. 2020;35(3):266-270
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J Am Coll Cardiol. 2021 Feb 23;77(7):902-921
pubmed: 33602474

Auteurs

Aniekeme S Etuk (AS)

Internal Medicine, Thomas Hospital - Infirmary Health, Fairhope, USA.

Celestine I Odigwe (CI)

Internal Medicine, Thomas Hospital - Infirmary Health, Fairhope, USA.

Christabel Nyange (C)

Cardiovascular Disease, Morehouse School of Medicine, Atlanta, USA.

Stanley Thornton (S)

Cardiovascular Disease, Thomas Hospital - Infirmary Health, Fairhope, USA.

Michael Pursley (M)

Cardiovascular Disease, Thomas Hospital - Infirmary Health, Fairhope, USA.

Classifications MeSH