DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
نویسندگان
چکیده
The first published case of Diabetic Ketoacidosis-induced Takotsubo cardiomyopathy was in 2009. Our patient is the 1st reported case of Diabetic Ketoacidosis- (DKA-) induced Takotsubo cardiomyopathy (TC) in a patient with known hypertrophic cardiomyopathy (HOCM) in the United States. In the literature, there are only two examples linking DKA to TC; however, this report focuses on the biochemical and physiological causes of TC in a patient with known HOCM and new-onset DKA. TC in previously diagnosed HOCM poses particular complications. With the above patient's baseline outflow tract obstruction due to septal hypertrophy, the acute reduction in EF due to TC resulted in transient drop in brain perfusion and, therefore, syncope.
منابع مشابه
A Case of Takotsubo Cardiomyopathy Precipitated by Thyroid Storm and Diabetic Ketoacidosis with Poor Prognosis.
UNLABELLED Takotsubo cardiomyopathy (TCMP) is known as stress cardiomyopathy, and long-term prognosis is generally excellent if recovering from an acute stage. Both thyroid storm and diabetic ketoacidosis (DKA) are reported to be rare causes of TCMP. However, there are no studies discussing TCMP as induced by a combination of thyroid storm and DKA, and the prognosis is unknown. Herein we report...
متن کاملReappearance of the left ventricular pressure gradient in a patient with hypertrophic obstructive cardiomyopathy.
An 84-year-old woman diagnosed with hypertrophic obstructive cardiomyopathy (HOCM) was referred to our hospital due to chest pain associated with an increased level of troponin T. Following the administration of cibenzoline, the left ventricular outflow pressure gradient (LVPG) completely disappeared. Left ventricular pressure pullback tracing subsequently demonstrated the "reappearance" of the...
متن کاملTakotsubo cardiomyopathy following subarachnoid hemorrhage* Síndrome de takotsubo após hemorragia subaracnoidea
Takotsubo cardiomyopathy corresponds to a syndrome characterized by a transient myocardial dysfunction affecting the left ventricular apex that classically occurs after major physical or emotional stress (also called “broken heart syndrome” or “stress-induced cardiomyopathy”). The author describes the case of a patient with takotsubo cardiomyopathy induced by subarachnoid hemorrhage.
متن کاملLATE BREAKING Abstract #1200 NEW ONSET DKA AS THE PRESENTING FEATURE OF A PHEOCHROMOCYTOMA
1200 NEW ONSET DKA AS THE PRESENTING FEATURE OF A PHEOCHROMOCYTOMA Mariam Alexander, MD, Steve Antoine, MD, Prashant Nadkarni, MD, Brian Changlai, MD SUNY Upstate Medical University Case Presentation: 50 year old obese female with a history of well controlled type 2 DM, hypertension, OSA, tobacco dependence and recurrent DVT and PE, presented with chest pain and was found to have DKA. Her tropo...
متن کاملTakotsubo cardiomyopathy in a 68-year old Russian female
INTRODUCTION Takotsubo cardiomyopathy also known as transient left ventricular apical ballooning, stress-induced cardiomyopathy can present with retrosternal chest pain with EKG changes that can mimic a myocardial infraction. CASE PRESENTATION We present a 68 female with sudden onset retrosternal squeezing chest pain with positive cardiac enzymes and EKG changes suggestive of acute ST-elevati...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
دوره 2017 شماره
صفحات -
تاریخ انتشار 2017