Too Much Stress- A Rare Case of Takotsubo Cardiomyopathy
Published: May 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/43816.13690
Soorya Narayanan Balasubramani, Mohamed Kasim Abdul
1. Postgraduate, Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Kumbakonam, Tamil Nadu, India.
2. Senior Resident, Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
Correspondence
Soorya Narayanan Balasubramani,
15, Town Extension, Gandhu Nager, Kumbakonam, Tamil Nadu, India.
E-mail: sooryab99@gmail.com
Takotsubo syndrome is a reversible, stress-induced transient systolic and diastolic dysfunction. It was first described as a characteristic ballooning of left ventricular apex which closely resembles a Japanese fishing pot. Here the authors present a case report of a 40-yearold female who was posted for elective tonsillectomy, that developed sudden de-saturation immediately post-intubation, examination showed bilateral extensive and ECG showed symmetrical T wave inversion in leads V1 to V6 and troponin I was positive. A diagnosis of Perioperative myocardial infarction was made and hence patient was taken for coronary angiogram which was found to be normal. The left ventricular angiogram showed a typical finding of apical ballooning. The patient was diagnosed to have- Takotsubo Syndrome. Treatment included tablet Torsemide, Ramipril and Metoprolol. She was discharged after 7 days as the vitals got normalised.
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