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Unmasking the Intricate Association Between Takotsubo Syndrome, Atrial Fibrillation, and Diabetes Mellitus: A Case Report and Literature Review.
Bouzhir, Adam; Taoufik Benchekroun, Reda; Doghmi, Nawal; Zarzur, Jamila; Cherti, Mohamed.
Afiliación
  • Bouzhir A; Cardiology B Department, University Hospital Center Ibn Sina, Mohammed V University of Rabat, Rabat, MAR.
  • Taoufik Benchekroun R; Cardiology B Department, University Hospital Center Ibn Sina, Mohammed V University of Rabat, Rabat, MAR.
  • Doghmi N; Cardiology B Department, University Hospital Center Ibn Sina, Mohammed V University of Rabat, Rabat, MAR.
  • Zarzur J; Cardiology B Department, University Hospital Center Ibn Sina, Mohammed V University of Rabat, Rabat, MAR.
  • Cherti M; Cardiology B Department, University Hospital Center Ibn Sina, Mohammed V University of Rabat, Rabat, MAR.
Cureus ; 16(8): e66516, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39252720
ABSTRACT
Takotsubo syndrome (TTS) is characterized by transient left ventricular dysfunction without obstructive coronary artery disease, often mimicking acute coronary syndrome. Its association with diabetes mellitus and arrhythmias, such as atrial fibrillation (AF), suggests potential shared pathophysiological mechanisms. We report the case of a 76-year-old woman with diabetes who developed sudden, severe chest pain and palpitations after cataract surgery. Initial EKG showed ST-segment elevation, and laboratory tests revealed elevated high-sensitivity troponin, inflammatory markers, and diabetic ketoacidosis (DKA). Despite acute coronary syndrome symptoms, coronary angiography showed no significant obstruction. Transthoracic echocardiography revealed left ventricular apical akinesia and a moderately reduced ejection fraction. A cardiac MRI a month later demonstrated complete recovery of left ventricular function and spontaneous resolution of AF tachycardia. This case highlights a rare presentation of TTS in a diabetic patient with AF and DKA. The spontaneous resolution of AF and recovery of left ventricular function underscore the complex interplay between these conditions. Further research is needed to explore the mechanisms linking TTS with diabetes and AF to improve clinical management and outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
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: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos