title: Tako-tsubo cardiomyopathy triggered by misdirection.
abstract: Tako-Tsubo cardiomyopathy (TTC), also known as transient left ventricular apical ballooning syndrome or stress-induced cardiomyopathy, is a novel reversible cardiomyopathy mimicking acute myocardial infarction without epicardial coronary artery disease. The exact physiopathology of TTC remains unclear. It is usually precipitated by acute physical or emotional stress and it most commonly affects postmenopausal women. The growing number of clinical cases of TTC have demonstrated a wide field of possible etiologies beyond the emotional stress. We report a case of a 67-year-old postmenopausal woman who was being supplemented by enteral feeding via a nasogastric tube and who developed TTC due to misdirection, probably favored by the mechanical blockade by the nasogastric tube, while swallowing the drug pills.
authors.affiliation: Cardiology Department, University Hospital of Caen, Caen, France.
authors.forename: Ziad
authors.initials: Z
authors.lastname: Dahdouh
authors.forename: Julien
authors.initials: J
authors.lastname: Wain-Hobson
authors.forename: Vincent
authors.initials: V
authors.lastname: Roule
authors.forename: Houaida
authors.initials: H
authors.lastname: Dahdouh
authors.forename: Fabien
authors.initials: F
authors.lastname: Labombarda
authors.forename: Tony
authors.initials: T
authors.lastname: Abdel-Massih
authors.forename: Antoine
authors.initials: A
authors.lastname: Sarkis
authors.forename: Gilles
authors.initials: G
authors.lastname: Grollier