title: Inverted Takotsubo cardiomyopathy after attempted suicidal hanging--two cases.
abstract: We report two cases of "Inverted Takotsubo cardiomyopathy" following attempted suicidal hanging. Both the patients presented with heart failure and had desaturation 8-12h after the suicidal attempt. Electrocardiography (ECG) showed ischemic changes. On echocardiography, the left ventricle (LV) showed ballooning and hypokinesia of the basal segments with apical sparing. Both patients underwent coronary angiograms considering the possibility of acute coronary syndrome. However, their coronary angiograms were normal. After 3-4 days of hospitalization, both recovered; their ECG had reversed and the LV contractility was normal on echocardiography.
authors.affiliation: Sengupta Hospital and Research Institute, Nagpur, India. Electronic address: senguptasp@gmail.com.
authors.forename: Shantanu
authors.initials: S
authors.lastname: Sengupta
authors.affiliation: Sengupta Hospital and Research Institute, Nagpur, India.
authors.forename: Kunda
authors.initials: K
authors.lastname: Mungulmare
authors.affiliation: Sengupta Hospital and Research Institute, Nagpur, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Wadaskar
authors.affiliation: Sengupta Hospital and Research Institute, Nagpur, India.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Pande
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D013406:Suicide, Attempted; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000209:etiology; D055815:Young Adult
keywords: Left ventricular dysfunction; Suicidal hanging; Takotsubo cardiomyopathy