Your browser doesn't support javascript.
loading
Basal Takotsubo syndrome with transient severe mitral regurgitation caused by drug use: a case report.
Albenque, Grégoire; Bohbot, Yohann; Delpierre, Quentin; Tribouilloy, Christophe.
Afiliación
  • Albenque G; Department of Cardiology, Amiens University Hospital, Avenue René Laënnec, 80054 Amiens, France.
  • Bohbot Y; Department of Cardiology, Amiens University Hospital, Avenue René Laënnec, 80054 Amiens, France.
  • Delpierre Q; UR UPJV 7517, CURS-UFR de pharmacie, Laboratoire UPJCV, Universite´ de Picardie, 1 chemin du Thil, 80000 Amiens, France.
  • Tribouilloy C; Department of Cardiology, Amiens University Hospital, Avenue René Laënnec, 80054 Amiens, France.
Eur Heart J Case Rep ; 4(2): 1-6, 2020 Jun.
Article en En | MEDLINE | ID: mdl-32864562
BACKGROUND: Takotsubo syndrome (TTS) is a reversible cardiomyopathy. Little is known regarding its basal form and possible complications. CASE SUMMARY: A 31-year-old woman with no medical history was hospitalized for attempted suicide by ingestion of cocaine, benzodiazepine, and methadone. Initially, the patient received intensive care for coma and bradypnoea. After naloxone administration, the neurological situation improved, but the patient developed acute pulmonary oedema. Transthoracic echocardiography (TTE) revealed left ventricular systolic dysfunction with the basal wall's akinesia associated with moderate to severe restrictive mitral regurgitation. Global longitudinal strain (GLS) was impaired mainly in the basal segments. A coronary computed tomography ruled out coronary artery disease. Symptoms improved quickly under diuretic treatment. Transthoracic echocardiography at Day 6 showed improved basal wall contraction, with a left ventricular ejection fraction (LVEF) of 50% and moderate mitral regurgitation. TTE at Day 30 confirmed the diagnosis of myocardial infarction with non-obstructive coronary arteries related to a basal TTS after complete recovery of the LVEF, normalization of the wall motion and GLS, and the absence of residual mitral regurgitation. DISCUSSION: We report a case of acute pulmonary oedema due to basal TTS complicated by severe transient mitral regurgitation associated with moderate left ventricular dysfunction. Measuring strain by speckle-tracking can be useful to diagnose and monitor this entity. The use of coronary computed tomography is informative in young patients to rule-out coronary artery disease.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur Heart J Case Rep Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur Heart J Case Rep Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido