Gastrointestinal Pain Suspected a Stressor Leading to the Onset of Takotsubo Cardiomyopathy: A Case Report
Roshni Shah *
Providence Heart Institute, 16001 W. 9 Mile Rd., Southfield, MI 48075. USA.
William Azkoul
Providence Heart Institute, 16001 W. 9 Mile Rd., Southfield, MI 48075. USA.
Daniel Cole
Providence Heart Institute, 16001 W. 9 Mile Rd., Southfield, MI 48075. USA.
Mourad David
Providence Heart Institute, 16001 W. 9 Mile Rd., Southfield, MI 48075. USA.
Shukri David
Providence Heart Institute, 16001 W. 9 Mile Rd., Southfield, MI 48075. USA.
*Author to whom correspondence should be addressed.
Abstract
Aims: To investigate a case of the mid-ventricular variant of Takotsubo cardiomyopathy (TTC), stress-induced cardiomyopathy, and evaluate if gastrointestinal pain may also contribute to this cardiomyopathy.
Presentation of Case: A 73-year-old female was admitted for severe abdominal pain, found to have positive cardiac biomarkers and ischemic ECG changes and was diagnosed with mid-ventricular TTC after non-invasive and invasive investigation.
Discussion: There are many variants of TTC that was found in a literature review. We demonstrated a unique variant of TTC that occurred of a significant emotional stressor with acute abdominal pain.
Conclusion: Not much detail is known about the variants TTC. Investigators must continue to study TTC so that physicians can more effectively diagnose, treat, and manage patients who present the condition. We suspect that gastrointestinal illness was the physical stressor that contributed to the onset of our patients TTC in a setting of ongoing emotional distress and should be on the differential as an eitology.
Keywords: Takotsubo cardiomyopathy, stress-induced cardiomyopathy, broken heart syndrome