title: Takotsubo cardiomyopathy secondary to spontaneous right-sided pneumothorax.
abstract: Takotsubo cardiomyopathy (TCM) is a unique type of cardiomyopathy characterised by left ventricular systolic dysfunction in association with stressful conditions. Patients with this condition usually present with chest pain and dyspnoea, and the presentation can mimic acute coronary syndrome. We present a case of a woman aged 58 years who presented with progressive dyspnoea and cough. Her initial evaluation was suggestive of acute myocardial infarction with elevated serum troponin T and ST segment elevation. Her chest radiograph showed a large right-sided pneumothorax, which was treated with chest tube insertion. Coronary angiography and echocardiogram did not show any evidence of obstructive coronary artery disease but did show a large area of akinesis consistent with TCM. The patient was managed medically with supportive care. Her pneumothorax resolved, and her follow-up echocardiogram also showed improvement. The association between pneumothorax and TCM is rare, and only four other cases have been reported so far in the English literature.
authors.affiliation: Department of Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA.
authors.forename: Mouhanna
authors.identifier: http://orcid.org/0000-0001-6210-6116
authors.initials: M
authors.lastname: Abu Ghanimeh
authors.affiliation: Department of Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA.
authors.forename: Bhaskar
authors.initials: B
authors.lastname: Bhardwaj
authors.affiliation: Department of Cardiology, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA.
authors.forename: Abdelrahman
authors.initials: A
authors.lastname: Aly
authors.affiliation: Department of Cardiology, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA.
authors.forename: Paramdeep
authors.initials: P
authors.lastname: Baweja
mesh_terms: D004322:Drainage / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D011030:Pneumothorax / Q000150:complications*; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome