Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy

Takotsubo cardiomyopathy (TTC), also known as transient left ventricular ballooning syndrome, is a stress-induced-cardiomyopathy. It is precipitated by emotional or physical stress and is characterized by normal coronary arteries and transient regional wall motion abnormalities. Variants of TTC incl...

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Main Authors: Mihaela Mihalcea-Danciu, Michel Zupan, Pierrick Le Borgne, Pascal Bilbault
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Emergencies, Trauma and Shock
Subjects:
Online Access:http://www.onlinejets.org/article.asp?issn=0974-2700;year=2018;volume=11;issue=2;spage=143;epage=145;aulast=
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author Mihaela Mihalcea-Danciu
Michel Zupan
Pierrick Le Borgne
Pascal Bilbault
author_facet Mihaela Mihalcea-Danciu
Michel Zupan
Pierrick Le Borgne
Pascal Bilbault
author_sort Mihaela Mihalcea-Danciu
collection DOAJ
description Takotsubo cardiomyopathy (TTC), also known as transient left ventricular ballooning syndrome, is a stress-induced-cardiomyopathy. It is precipitated by emotional or physical stress and is characterized by normal coronary arteries and transient regional wall motion abnormalities. Variants of TTC include apical ballooning syndrome and, less commonly, mid, basal, and local variants. New onset heart failure or acute coronary syndromes are a common presentation of TTC. Arrhythmias such as VT, VF, and torsade de pointes have also been reported. We present here a 42-year-old man with an inverted Takotsubo variant with pulmonary edema and transient accelerated idioventricular rhythm. He was initially admitted in the Emergency Department for acute and non-complicated appendicitis. Coronary angiogram showed normal coronary arteries and left ventriculography revealed a reverse variant of TTC. The patient had completely recovered. Myocarditis was ruled out by cardiac magnetic resonance imaging.
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spelling doaj.art-d93caf83d0034dce921c2889f48948862022-12-22T02:53:55ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002018-01-0111214314510.4103/JETS.JETS_13_17Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathyMihaela Mihalcea-DanciuMichel ZupanPierrick Le BorgnePascal BilbaultTakotsubo cardiomyopathy (TTC), also known as transient left ventricular ballooning syndrome, is a stress-induced-cardiomyopathy. It is precipitated by emotional or physical stress and is characterized by normal coronary arteries and transient regional wall motion abnormalities. Variants of TTC include apical ballooning syndrome and, less commonly, mid, basal, and local variants. New onset heart failure or acute coronary syndromes are a common presentation of TTC. Arrhythmias such as VT, VF, and torsade de pointes have also been reported. We present here a 42-year-old man with an inverted Takotsubo variant with pulmonary edema and transient accelerated idioventricular rhythm. He was initially admitted in the Emergency Department for acute and non-complicated appendicitis. Coronary angiogram showed normal coronary arteries and left ventriculography revealed a reverse variant of TTC. The patient had completely recovered. Myocarditis was ruled out by cardiac magnetic resonance imaging.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2018;volume=11;issue=2;spage=143;epage=145;aulast=Appendicitisidioventricular rhythmtakotsubo cardiomyopathy
spellingShingle Mihaela Mihalcea-Danciu
Michel Zupan
Pierrick Le Borgne
Pascal Bilbault
Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
Journal of Emergencies, Trauma and Shock
Appendicitis
idioventricular rhythm
takotsubo cardiomyopathy
title Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
title_full Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
title_fullStr Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
title_full_unstemmed Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
title_short Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
title_sort acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
topic Appendicitis
idioventricular rhythm
takotsubo cardiomyopathy
url http://www.onlinejets.org/article.asp?issn=0974-2700;year=2018;volume=11;issue=2;spage=143;epage=145;aulast=
work_keys_str_mv AT mihaelamihalceadanciu acuteappendicitisasanunexpectedcauseofinvertedtakotsubocardiomyopathy
AT michelzupan acuteappendicitisasanunexpectedcauseofinvertedtakotsubocardiomyopathy
AT pierrickleborgne acuteappendicitisasanunexpectedcauseofinvertedtakotsubocardiomyopathy
AT pascalbilbault acuteappendicitisasanunexpectedcauseofinvertedtakotsubocardiomyopathy