title: Takotsubo cardiomyopathy precipitated by delirium tremens.
abstract: A 57-year-old woman presented with alcohol withdrawal symptoms, which later progressed to delirium tremens. During hospitalization, she developed respiratory distress with acute pulmonary edema. Electrocardiogram (ECG) showed diffuse ST elevation with elevated cardiac enzymes. Echocardiogram showed estimated ejection fraction of 20-25% with characteristic apical ballooning. After several days of supportive care, the patient showed significant clinical improvement with normalization of ECG, cardiac enzymes, and echocardiographic findings. Coronary angiogram revealed no coronary abnormalities. Although Takotsubo cardiomyopathy has been associated with diverse forms of physical or emotional stress, only a few cases have been described with delirium tremens in the medical literature.
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA; chidoziecharles82@hotmail.com.
authors.forename: Chidozie Charles
authors.initials: CC
authors.lastname: Agu
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Bakhit
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Md
authors.initials: M
authors.lastname: Basunia
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Bikash
authors.initials: B
authors.lastname: Bhattarai
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Vikram
authors.initials: V
authors.lastname: Oke
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Divya
authors.initials: D
authors.lastname: Salhan
authors.affiliation: Interfaith Medical Center, Brooklyn, NY, USA.
authors.forename: Frances
authors.initials: F
authors.lastname: Schmidt
keywords: Takotsubo; alcohol; delirium tremens