title: Inverted takotsubo cardiomyopathy.
abstract: Takotsubo cardiomyopathy is a transient acute left ventricular dysfunction characterized by left ventricular apical akinesis and ballooning without obstructive coronary disease described predominantly in post-menopausal women in the setting of acute emotional or physical stress. Recent reports have described isolated transient basal akinesis (inverted takotsubo cardiomyopathy) in mostly female patients with acute neurologic disorders or pheochromocytoma. We describe a rare case of a 78-year-old male with inverted takotsubo cardiomyopathy in the setting of acute abdominal pain attributed to biliary colic. A review of published literature reveals that inverted takotsubo cardiomyopathy precipitated by acute stress rather than an acute neurologic disorder appears to be an extremely rare presentation in a male patient. We discuss the relevant literature regarding incidence and reported gender distribution of inverted takotsubo cardiomyopathy.
authors.affiliation: Division of Cardiology, Danbury Hospital, 24 Hospital Ave., Danbury, CT 06810, USA.
authors.forename: Amit S
authors.initials: AS
authors.lastname: Dande
authors.forename: Lawrence I
authors.initials: LI
authors.lastname: Fisher
authors.forename: Mark K
authors.initials: MK
authors.lastname: Warshofsky
mesh_terms: D015746:Abdominal Pain / Q000150:complications* / Q000209:etiology; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000368:Aged; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001660:Biliary Tract Diseases / Q000150:complications*; D006328:Cardiac Catheterization; D003085:Colic / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D008297:Male; D013315:Stress, Psychological / Q000150:complications*; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D000959:Antihypertensive Agents