Cerebral hemorrhage: precipitating event for a tako-tsubo-like cardiomyopathy?
There have been some reports in medical literature of patients with profound, reversible left-ventricular (LV) dysfunction after sudden emotional stress. Originally, in Japan, the pattern was called tako-tsubo cardiomyopathy. ST-segment elevation is seen with this syndrome, and it may look like acute ST-elevation myocardial infarction. However, it has also been well established that a subarachnoid hemorrhage can manifest with cardiac abnormalities. The authors describe a case involving a cerebral hemorrhage and a potential tako-tsubo-like cardiomyopathy in the same patient. In conclusion, even though the patient's presentation appears to be a tako-tsubo syndrome, the radiographic evidence of a cerebral hemorrhage presents as a stronger etiology for the cardiac changes that occur in our patient.
Rahimi
Ali R
AR
Maizuru Municipal Hospital, Maizuru, Kyoto Prefectures, Japan. arrahimi@segageriatrics.com
Katayama
Masanobu
M
Mills
Jacob
J
D000368:Aged; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed