title: Medication-induced Takotsubo Cardiomyopathy presenting with cardiogenic shock-utility of extracorporeal membrane oxygenation (ECMO): case report and review of the literature.
abstract: Takotsubo cardiomyopathy (TTC) is a transient condition that affects the myocardium and is seen mostly in post-menopausal women secondary to an emotional or physical stressor; however, certain drugs have been described as cause of this syndrome. We report the case of a young female with medication--induced TTC, who presented with cardiogenic shock as initial manifestation, treated successfully with extracorporeal membrane oxygenation (ECMO). To our knowledge, this is the first case in the literature describing the use of ECMO in cardiogenic shock due to medication-induced TTC.
authors.affiliation: Department of Medicine, Maimonides Medical Center, NY.
authors.forename: Geurys
authors.initials: G
authors.lastname: Rojas-Marte
authors.affiliation: Department of Cardiology, Maimonides Medical Center, NY. Electronic address: doctorjacob@gmail.com.
authors.forename: Jinu
authors.initials: J
authors.lastname: John
authors.affiliation: Department of Cardiology, Maimonides Medical Center, NY.
authors.forename: Adnan
authors.initials: A
authors.lastname: Sadiq
authors.affiliation: Department of Cardiology, Maimonides Medical Center, NY.
authors.forename: Norbert
authors.initials: N
authors.lastname: Moskovits
authors.affiliation: Department of Cardiothoracic Surgery, Maimonides Medical Center, NY.
authors.forename: Paul
authors.initials: P
authors.lastname: Saunders
authors.affiliation: Department of Cardiology, Maimonides Medical Center, NY.
authors.forename: Jacob
authors.initials: J
authors.lastname: Shani
mesh_terms: D000328:Adult; D004155:Diphenhydramine / Q000506:poisoning*; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007052:Ibuprofen / Q000506:poisoning*; D020127:Recovery of Function; D012770:Shock, Cardiogenic / Q000139:chemically induced / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left / Q000187:drug effects
chemical_list: D004155:Diphenhydramine; D007052:Ibuprofen
keywords: ECMO; Takotsubo cardiomyopathy