Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy
'Takotsubo cardiomyopathy (TCM)' or 'stress cardiomyopathy' is a reversible cardiomyopathy that is precipitated by intense emotional or physical stress. This syndrome is characterised by symptoms mimicking acute coronary syndrome with transient systolic dysfunction associated wit...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=3;spage=202;epage=205;aulast=Bharathi |
| _version_ | 1818547806652071936 |
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| author | K S Bharathi Srinivas Kulkarni K S Sadananda C L Gurudatt |
| author_facet | K S Bharathi Srinivas Kulkarni K S Sadananda C L Gurudatt |
| author_sort | K S Bharathi |
| collection | DOAJ |
| description | 'Takotsubo cardiomyopathy (TCM)' or 'stress cardiomyopathy' is a reversible cardiomyopathy that is precipitated by intense emotional or physical stress. This syndrome is characterised by symptoms mimicking acute coronary syndrome with transient systolic dysfunction associated with regional wall motion abnormalities, which extend beyond a single coronary vascular bed in the absence of obstructive coronary vascular disease. The presentation of TCM and myocardial infarction is similar with sudden onset of chest pain, breathlessness as well as abnormalities in both the electrocardiogram and cardiac enzymes. It is difficult to differentiate between the two until cardiac catheterisation establishes the diagnosis. We report a case of TCM in a post-menopausal female, precipitated by negative pressure pulmonary oedema following total thyroidectomy in whom timely cardiac catheterisation established the diagnosis and influenced the management. Heightened awareness of this unique cardiomyopathy is essential to have a high index of suspicion in at-risk population for the prompt diagnosis of stress-related cardiomyopathy syndromes occurring in the perioperative period. |
| first_indexed | 2024-12-12T08:11:36Z |
| format | Article |
| id | doaj.art-43515043bf624a32a87310629111e16d |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-12T08:11:36Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-43515043bf624a32a87310629111e16d2022-12-22T00:31:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492016-01-0160320220510.4103/0019-5049.177872Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomyK S BharathiSrinivas KulkarniK S SadanandaC L Gurudatt'Takotsubo cardiomyopathy (TCM)' or 'stress cardiomyopathy' is a reversible cardiomyopathy that is precipitated by intense emotional or physical stress. This syndrome is characterised by symptoms mimicking acute coronary syndrome with transient systolic dysfunction associated with regional wall motion abnormalities, which extend beyond a single coronary vascular bed in the absence of obstructive coronary vascular disease. The presentation of TCM and myocardial infarction is similar with sudden onset of chest pain, breathlessness as well as abnormalities in both the electrocardiogram and cardiac enzymes. It is difficult to differentiate between the two until cardiac catheterisation establishes the diagnosis. We report a case of TCM in a post-menopausal female, precipitated by negative pressure pulmonary oedema following total thyroidectomy in whom timely cardiac catheterisation established the diagnosis and influenced the management. Heightened awareness of this unique cardiomyopathy is essential to have a high index of suspicion in at-risk population for the prompt diagnosis of stress-related cardiomyopathy syndromes occurring in the perioperative period.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=3;spage=202;epage=205;aulast=BharathiNegative pressure pulmonary oedema, stress cardiomyopathy, takotsubo cardiomyopathy, thyroidectomy |
| spellingShingle | K S Bharathi Srinivas Kulkarni K S Sadananda C L Gurudatt Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy Indian Journal of Anaesthesia Negative pressure pulmonary oedema, stress cardiomyopathy, takotsubo cardiomyopathy, thyroidectomy |
| title | Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy |
| title_full | Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy |
| title_fullStr | Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy |
| title_full_unstemmed | Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy |
| title_short | Takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy |
| title_sort | takotsubo cardiomyopathy precipitated by negative pressure pulmonary oedema following total thyroidectomy |
| topic | Negative pressure pulmonary oedema, stress cardiomyopathy, takotsubo cardiomyopathy, thyroidectomy |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=3;spage=202;epage=205;aulast=Bharathi |
| work_keys_str_mv | AT ksbharathi takotsubocardiomyopathyprecipitatedbynegativepressurepulmonaryoedemafollowingtotalthyroidectomy AT srinivaskulkarni takotsubocardiomyopathyprecipitatedbynegativepressurepulmonaryoedemafollowingtotalthyroidectomy AT kssadananda takotsubocardiomyopathyprecipitatedbynegativepressurepulmonaryoedemafollowingtotalthyroidectomy AT clgurudatt takotsubocardiomyopathyprecipitatedbynegativepressurepulmonaryoedemafollowingtotalthyroidectomy |