Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis
Background: Takotsubo Cardiomyopathy (TTC) is characterized by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery disease. While TTC is usually preceded by an emotionally stressful event, physical trauma has been documented as a precipitating...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-08-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001036 |
| _version_ | 1797802809008062464 |
|---|---|
| author | Sawyer Cimaroli Yesha Maniar James Ciancarelli Adam Stright D'Andrea Joseph |
| author_facet | Sawyer Cimaroli Yesha Maniar James Ciancarelli Adam Stright D'Andrea Joseph |
| author_sort | Sawyer Cimaroli |
| collection | DOAJ |
| description | Background: Takotsubo Cardiomyopathy (TTC) is characterized by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery disease. While TTC is usually preceded by an emotionally stressful event, physical trauma has been documented as a precipitating incident as well. Case summary: An 82-year-old female with no past medical history, presented to the emergency department following a motor vehicle collision. Trauma workup was significant for an ulnar fracture, elevated cardiac enzymes, and ST-segment changes. Bedside echocardiogram revealed apical ballooning. She underwent cardiac catheterization, which failed to demonstrate significant coronary artery disease. The patient developed cardiogenic shock and required temporary vasopressor support after failing a trial of intra-aortic balloon pump. Conclusion: Takotsubo Cardiomyopathy is a rare complication of trauma, which presents with signs and symptoms similar to acute coronary syndrome (ACS) but without evidence of obstructive coronary artery disease. Following trauma, signs of ACS in elderly women should raise provider's suspicion for TTC and prompting bedside echocardiography, which can assist with early diagnosis. |
| first_indexed | 2024-03-13T05:12:21Z |
| format | Article |
| id | doaj.art-bae84233fc42453295c0d826bfe4b085 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-13T05:12:21Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-bae84233fc42453295c0d826bfe4b0852023-06-16T05:10:10ZengElsevierTrauma Case Reports2352-64402023-08-0146100855Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosisSawyer Cimaroli0Yesha Maniar1James Ciancarelli2Adam Stright3D'Andrea Joseph4Corresponding author.; NYU Langone Long Island, 259 First Street, Mineola, NY 11501, United States of AmericaNYU Langone Long Island, 259 First Street, Mineola, NY 11501, United States of AmericaNYU Langone Long Island, 259 First Street, Mineola, NY 11501, United States of AmericaNYU Langone Long Island, 259 First Street, Mineola, NY 11501, United States of AmericaNYU Langone Long Island, 259 First Street, Mineola, NY 11501, United States of AmericaBackground: Takotsubo Cardiomyopathy (TTC) is characterized by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery disease. While TTC is usually preceded by an emotionally stressful event, physical trauma has been documented as a precipitating incident as well. Case summary: An 82-year-old female with no past medical history, presented to the emergency department following a motor vehicle collision. Trauma workup was significant for an ulnar fracture, elevated cardiac enzymes, and ST-segment changes. Bedside echocardiogram revealed apical ballooning. She underwent cardiac catheterization, which failed to demonstrate significant coronary artery disease. The patient developed cardiogenic shock and required temporary vasopressor support after failing a trial of intra-aortic balloon pump. Conclusion: Takotsubo Cardiomyopathy is a rare complication of trauma, which presents with signs and symptoms similar to acute coronary syndrome (ACS) but without evidence of obstructive coronary artery disease. Following trauma, signs of ACS in elderly women should raise provider's suspicion for TTC and prompting bedside echocardiography, which can assist with early diagnosis.http://www.sciencedirect.com/science/article/pii/S2352644023001036Blunt cardiac injuryTakotsubo cardiomyopathyTraumaStress-induced cardiomyopathy |
| spellingShingle | Sawyer Cimaroli Yesha Maniar James Ciancarelli Adam Stright D'Andrea Joseph Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis Trauma Case Reports Blunt cardiac injury Takotsubo cardiomyopathy Trauma Stress-induced cardiomyopathy |
| title | Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis |
| title_full | Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis |
| title_fullStr | Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis |
| title_full_unstemmed | Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis |
| title_short | Takotsubo cardiomyopathy following blunt trauma: Early recognition and diagnosis |
| title_sort | takotsubo cardiomyopathy following blunt trauma early recognition and diagnosis |
| topic | Blunt cardiac injury Takotsubo cardiomyopathy Trauma Stress-induced cardiomyopathy |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001036 |
| work_keys_str_mv | AT sawyercimaroli takotsubocardiomyopathyfollowingblunttraumaearlyrecognitionanddiagnosis AT yeshamaniar takotsubocardiomyopathyfollowingblunttraumaearlyrecognitionanddiagnosis AT jamesciancarelli takotsubocardiomyopathyfollowingblunttraumaearlyrecognitionanddiagnosis AT adamstright takotsubocardiomyopathyfollowingblunttraumaearlyrecognitionanddiagnosis AT dandreajoseph takotsubocardiomyopathyfollowingblunttraumaearlyrecognitionanddiagnosis |