Biventricular takotsubo cardiomyopathy in an elderly woman with uncontrolled type 2 diabetes: the biphasic echocardiographic and clinical pattern.
We describe a case of an elderly woman who was diagnosed with a biventricular takotsubo cardiomyopathy (TTC) with combination of emotional stress and poorly controlled type 2 diabetes. We observed significant correlation between biphasic improvement of right (after 4 days) and left ventricle function (after 4 weeks) with normalization glycemic status. To our knowledge, this is the first reported case in the literature of biventricular TTC with such metabolic disturbances.
1st Department of Cardiology, Central University Hospital, Medical University of Warsaw, 1a Banacha St., 02-097, Warsaw, Poland.
Janusz
J
Kochanowski
1st Department of Cardiology, Central University Hospital, Medical University of Warsaw, 1a Banacha St., 02-097, Warsaw, Poland.
Radoslaw
R
Piatkowski
1st Department of Cardiology, Central University Hospital, Medical University of Warsaw, 1a Banacha St., 02-097, Warsaw, Poland. moni.budnik@gmail.com.
Monika
M
Budnik
2nd Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland.
Mariusz
M
Jasik
Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.
Marek
M
Roik
1st Department of Cardiology, Central University Hospital, Medical University of Warsaw, 1a Banacha St., 02-097, Warsaw, Poland.
Grzegorz
G
Opolski
D000369:Aged, 80 and over; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy / Q000523:psychology; D004351:Drug Resistance; D004452:Echocardiography / Q000187:drug effects / Q000379:methods; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000493:pharmacokinetics; D007328:Insulin / Q000008:administration & dosage / Q000493:pharmacokinetics; D013315:Stress, Psychological / Q000150:complications / Q000503:physiopathology; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D016896:Treatment Outcome; D016276:Ventricular Function / Q000187:drug effects*
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin
Biventricular takotsubo cardiomyopathy; Diabetes mellitus; Metabolic stress