Tako-tsubo cardiomyopathy precipitated by alcohol withdrawal.
A 57 year-old woman with no history of cardiac disease presented to the emergency department with confusion and seizures secondary to alcohol withdrawal. Elevated troponin levels and an electrocardiogram demonstrating global T-wave inversions prompted coronary angiography, which revealed coronary vessels free of significant disease. An echocardiogram showed both hypokinesis of the left-ventricular mid-segments with apical involvement and a hyperkinetic base consistent with tako-tsubo cardiomyopathy (TCM). Several clinical conditions have been reported as triggers of TCM. We report a case of TCM in a post-menopausal woman that was precipitated by alcohol withdrawal.
Cardiology Division, Kingston General Hospital, Queen’s University Kingston, Ontario, Canada.
Payam
P
Yazdan-Ashoori
Robert
R
Nichols
Adrian
A
Baranchuk
D000430:Alcohol Withdrawal Delirium / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D020270:Alcohol Withdrawal Seizures / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000437:Alcoholism / Q000150:complications*; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy