Takotsubo cardiomiopathy after acute diarrhea.
Takotsubo cardiomyopaty is a recently described syndrome characterized by transient left ventricular dysfunction, mimicking an acute coronary syndrome and usually precipitated by a physical or emotional stress. We report the first case of Takotsubo cardiomyopathy after acute diarrhea in a man. It may be argued that severe diarrhea in predisposed individuals may cause an acute stress resulting in increased sympathetic activity leading to this syndrome. Probably the relationship between the adrenergic system and the heart is more complex than general thought and the stimuli which favor an autonomic imbalance and precipitate the syndrome are very disparate in clinical practice.
Novo
Giuseppina
G
Division of Cardiology, University of Palermo, Sicily, Italy. novog@unipa.it
Ferro
Giovanni
G
Fazio
Giovanni
G
Coppola
Giuseppe
G
Ciaramitaro
Gianfranco
G
Farinella
Michele
M
Rotolo
Antonino
A
Caruso
Marco
M
Ferrandes
Marilena
M
Hoffmann
Enrico
E
Assennato
Pasquale
P
Novo
Salvatore
S
D054058:Acute Coronary Syndrome / Q000175:diagnosis; D000208:Acute Disease; D000368:Aged; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000150:complications*; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*