title: Stress-induced cardiomyopathy associated with ipratropium bromide therapy in a patient with chronic obstructive pulmonary disease.
abstract: Stress-induced cardiomyopathy, also known as 'broken heart syndrome' or Takotsubo cardiomyopathy, is characterized by transient systolic dysfunction of the apical and/or mid segments of the left ventricle, in the absence of significant coronary artery disease. We report the case of a 56-year-old male patient with chronic obstructive pulmonary disease (COPD), with stress-induced cardiomyopathy associated with the use of ipratropium bromide, administered in the context of an acute exacerbation of COPD.
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal. Electronic address: filipamelao@gmail.com.
authors.forename: Filipa
authors.initials: F
authors.lastname: Melão
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Portugal.
authors.forename: José P L
authors.initials: JP
authors.lastname: Nunes
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal.
authors.forename: Mariana
authors.initials: M
authors.lastname: Vasconcelos
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal.
authors.forename: Paula
authors.initials: P
authors.lastname: Dias
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal.
authors.forename: Pedro B
authors.initials: PB
authors.lastname: Almeida
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Rodrigues
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal.
authors.forename: Teresa
authors.initials: T
authors.lastname: Pinho
authors.affiliation: Serviço de Radiologia, Centro Hospitalar São João, Porto, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Madureira
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar São João, Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Portugal.
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Maciel
mesh_terms: D001993:Bronchodilator Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D009241:Ipratropium / Q000009:adverse effects* / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000188:drug therapy; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced*
chemical_list: D001993:Bronchodilator Agents; D009241:Ipratropium
keywords: Brometo de ipratrópio; Cardiomiopatia de Takotsubo; Cardiomiopatia de stress; Ipratropium bromide; Stress cardiomyopathy; Takotsubo cardiomyopathy