Tako-tsubo cardiomyopathy precipitated by alcohol withdrawal

Payam Yazdan-Ashoori; Robert Nichols; Adrian Baranchuk

doi:10.5603/cj.23054

Vol 19, No 1 (2012)

Case Reports

Submitted: 2013-01-24

Published online: 2012-02-02

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Tako-tsubo cardiomyopathy precipitated by alcohol withdrawal

Payam Yazdan-Ashoori, Robert Nichols, Adrian Baranchuk

DOI: 10.5603/cj.23054

Cardiol J 2012;19(1):81-85.

Vol 19, No 1 (2012)

Case Reports

Submitted: 2013-01-24

Published online: 2012-02-02

Abstract

A 57 year-old woman with no history of cardiac disease presented to the emergency department with confusion and seizures secondary to alcohol withdrawal. Elevated troponin levels and an electrocardiogram demonstrating global T-wave inversions prompted coronary angiography, which revealed coronary vessels free of significant disease. An echocardiogram showed both hypokinesis of the left-ventricular mid-segments with apical involvement and a hyperkinetic base consistent with tako-tsubo cardiomyopathy (TCM). Several clinical conditions have been reported as triggers of TCM. We report a case of TCM in a post-menopausal woman that was precipitated by alcohol withdrawal. (Cardiol J 2012; 19, 1: 81–85)