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Takotsubo cardiomyopathy secondary to spontaneous right-sided pneumothorax.

Abstract Takotsubo cardiomyopathy (TCM) is a unique type of cardiomyopathy characterised by left ventricular systolic dysfunction in association with stressful conditions. Patients with this condition usually present with chest pain and dyspnoea, and the presentation can mimic acute coronary syndrome. We present a case of a woman aged 58 years who presented with progressive dyspnoea and cough. Her initial evaluation was suggestive of acute myocardial infarction with elevated serum troponin T and ST segment elevation. Her chest radiograph showed a large right-sided pneumothorax, which was treated with chest tube insertion. Coronary angiography and echocardiogram did not show any evidence of obstructive coronary artery disease but did show a large area of akinesis consistent with TCM. The patient was managed medically with supportive care. Her pneumothorax resolved, and her follow-up echocardiogram also showed improvement. The association between pneumothorax and TCM is rare, and only four other cases have been reported so far in the English literature.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28249888
OWN - NLM
STAT- MEDLINE
DA  - 20170302
DCOM- 20170314
LR  - 20170314
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 01
TI  - Takotsubo cardiomyopathy secondary to spontaneous right-sided pneumothorax.
LID - bcr2017219384 [pii]
LID - 10.1136/bcr-2017-219384 [doi]
AB  - Takotsubo cardiomyopathy (TCM) is a unique type of cardiomyopathy characterised
      by left ventricular systolic dysfunction in association with stressful
      conditions. Patients with this condition usually present with chest pain and
      dyspnoea, and the presentation can mimic acute coronary syndrome. We present a
      case of a woman aged 58 years who presented with progressive dyspnoea and cough. 
      Her initial evaluation was suggestive of acute myocardial infarction with
      elevated serum troponin T and ST segment elevation. Her chest radiograph showed a
      large right-sided pneumothorax, which was treated with chest tube insertion.
      Coronary angiography and echocardiogram did not show any evidence of obstructive 
      coronary artery disease but did show a large area of akinesis consistent with
      TCM. The patient was managed medically with supportive care. Her pneumothorax
      resolved, and her follow-up echocardiogram also showed improvement. The
      association between pneumothorax and TCM is rare, and only four other cases have 
      been reported so far in the English literature.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Abu Ghanimeh, Mouhanna
AU  - Abu Ghanimeh M
AUID- ORCID: http://orcid.org/0000-0001-6210-6116
AD  - Department of Internal Medicine, University of Missouri Kansas City School of
      Medicine, Kansas City, Missouri, USA.
FAU - Bhardwaj, Bhaskar
AU  - Bhardwaj B
AD  - Department of Internal Medicine, University of Missouri Kansas City School of
      Medicine, Kansas City, Missouri, USA.
FAU - Aly, Abdelrahman
AU  - Aly A
AD  - Department of Cardiology, University of Missouri Kansas City School of Medicine, 
      Kansas City, Missouri, USA.
FAU - Baweja, Paramdeep
AU  - Baweja P
AD  - Department of Cardiology, University of Missouri Kansas City School of Medicine, 
      Kansas City, Missouri, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170301
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Drainage/instrumentation
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Pneumothorax/*complications
MH  - Takotsubo Cardiomyopathy/*diagnostic imaging/etiology/surgery
MH  - Treatment Outcome
EDAT- 2017/03/03 06:00
MHDA- 2017/03/03 06:00
CRDT- 2017/03/03 06:00
AID - bcr-2017-219384 [pii]
AID - 10.1136/bcr-2017-219384 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 1;2017. pii: bcr2017219384. doi: 10.1136/bcr-2017-219384.

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