open access

Vol 16, No 4 (2021)
Case report
Published online: 2021-08-31
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Late-onset takotsubo cardiomyopathy after acute pulmonary embolism

Aleksandra Wilk1, Wojciech Król2, Marcin Konopka2, Anna Żarek-Starzewska1, Wojciech Braksator2
DOI: 10.5603/FC.a2021.0034
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Folia Cardiologica 2021;16(4):248-251.
Affiliations
  1. Zespół Oddziałów Chorób Wewnętrznych, Kardiologii i Nadciśnienia Tętniczego, Mazowiecki Szpital Bródnowski, ul. Kondratowicza 8, 03-242 Warszawa, Poland
  2. Zakład Medycyny Sportowej i Nieinwazyjnej Diagnostyki Kardiologicznej. Warszawski Uniwersytet Medyczny, ul. Kondratowicza 8, 03-242 Warszawa, Poland

open access

Vol 16, No 4 (2021)
Case Reports
Published online: 2021-08-31

Abstract

Takotsubo syndrome (TTS) is an acute condition characterized by transient decrease of regional contractility most often involving apical segments of left ventricle. We present the case report of 87-year old woman diagnosed with intermediate-high risk acute pulmonary embolism, previously discharged in a stable condition, who was presented again to the Emergency Department because of a syncope and increasing levels of troponin. After differential diagnostics including coronaroangiography and transthoracic echocardiography complemented by the longitudinal strain assessment with the use of speckle tracking echocardiography a diagnosis of takotsubo cardiomyopathy was made. This case shows the significance of strain echocardiography in diagnostics of TTS.

Abstract

Takotsubo syndrome (TTS) is an acute condition characterized by transient decrease of regional contractility most often involving apical segments of left ventricle. We present the case report of 87-year old woman diagnosed with intermediate-high risk acute pulmonary embolism, previously discharged in a stable condition, who was presented again to the Emergency Department because of a syncope and increasing levels of troponin. After differential diagnostics including coronaroangiography and transthoracic echocardiography complemented by the longitudinal strain assessment with the use of speckle tracking echocardiography a diagnosis of takotsubo cardiomyopathy was made. This case shows the significance of strain echocardiography in diagnostics of TTS.
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Keywords

takotsubo cardiomyopathy, acute pulmonary embolism, stress cardiomyopathy, strain echocardiography

About this article
Title

Late-onset takotsubo cardiomyopathy after acute pulmonary embolism

Journal

Folia Cardiologica

Issue

Vol 16, No 4 (2021)

Article type

Case report

Pages

248-251

Published online

2021-08-31

DOI

10.5603/FC.a2021.0034

Bibliographic record

Folia Cardiologica 2021;16(4):248-251.

Keywords

takotsubo cardiomyopathy
acute pulmonary embolism
stress cardiomyopathy
strain echocardiography

Authors

Aleksandra Wilk
Wojciech Król
Marcin Konopka
Anna Żarek-Starzewska
Wojciech Braksator

References (10)
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  2. Ono R, Falcão LM. Takotsubo cardiomyopathy systematic review: pathophysiologic process, clinical presentation and diagnostic approach to Takotsubo cardiomyopathy. Int J Cardiol. 2016; 209: 196–205.
  3. Ghadri JR, Wittstein IS, Prasad A, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Eur Heart J. 2018; 39(22): 2032–2046.
  4. Jin Qi, Luo Q, Zhao Z, et al. Takotsubo syndrome with pulmonary embolism: a case report and literature review. BMC Cardiovasc Disord. 2018; 18(1): 229.
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  6. Medina de Chazal H, Del Buono MG, Keyser-Marcus L, et al. Stress cardiomyopathy diagnosis and treatment: JACC state-of-the-art review. J Am Coll Cardiol. 2018; 72(16): 1955–1971.
  7. Jurisic S, Gili S, Cammann V, et al. Clinical predictors and prognostic impact of recovery of wall motion abnormalities in takotsubo syndrome: results from the International Takotsubo Registry. J Am Heart Assoc. 2019; 8(21).
  8. Eitel I, von Knobelsdorff-Brenkenhoff F, Bernhardt P, et al. Clinical characteristics and cardiovascular magnetic resonance findings in stress (takotsubo) cardiomyopathy. JAMA. 2011; 306(3): 277–286.
  9. Citro R, Piscione F, Parodi G, et al. Role of echocardiography in takotsubo cardiomyopathy. Heart Failure Clinics. 2013; 9(2): 157–166.
  10. Citro R, Okura H, Ghadri JR, et al. EACVI Scientific Documents Committee. Multimodality imaging in takotsubo syndrome: a joint consensus document of the European Association of Cardiovascular Imaging (EACVI) and the Japanese Society of Echocardiography (JSE). Eur Heart J Cardiovasc Imaging. 2020; 21(11): 1184–1207.

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