title: [Inverted takotsubo cardiomyopathy due to subarachnoid haemorrhage].
abstract: We present a case of a 34-year-old woman with cardiogenic shock after successful resuscitation. In the medical history migraine was known. Emergency echocardiography demonstrated left ventricular dysfunction with hypokinetic basal and midventricular segments and hyperkinetic apex. Cerebral computed tomography suggested a massive subarachnoid haemorrhage (SAH) with transtentorial herniation, so that taking into account the clinical history (severe headache) the diagnosis of a SAH-associated inverted takotsubo cardiomyopathy could be made. In the case of subarachnoid haemorrhage it should be noted that extracerebral organ dysfunction, e.g. inverted takotsubo cardiomyopathy, frequently occurs.
authors.affiliation: Klinik III für Innere Medizin, Universitätsklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland. guido.michels@uk-koeln.de.
authors.forename: G
authors.initials: G
authors.lastname: Michels
authors.affiliation: Klinik III für Innere Medizin, Universitätsklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Pfister
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D004630:Emergencies; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging* / Q000628:therapy*; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging*; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000628:therapy*; D014057:Tomography, X-Ray Computed
keywords: Cardiac arrest; Echocardiography; Electrocardiography; Emergencies; Stress cardiomyopathy