Cardiac Anomaly: Reverse Takotsubo Following Gallbladder Surgery.

Autor: Aodish S; Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA., Tam R; Internal Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA., Grain M; Internal Medicine, Unity Hospital, Rochester, USA., Fiema B; Cardiology, Unity Hospital, Rochester, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jul 24; Vol. 16 (7), pp. e65297. Date of Electronic Publication: 2024 Jul 24 (Print Publication: 2024).
DOI: 10.7759/cureus.65297
Abstrakt: Takotsubo cardiomyopathy is an acute but often reversible left ventricular dysfunction commonly triggered by emotional stress. There are multiple variants within the general condition; however, reverse Takotsubo cardiomyopathy is a rare variant of stress-induced cardiomyopathy affecting the basilar segment of the left ventricle. This commonly manifests in younger women with clinical presentations similar to acute coronary syndrome. Cases of postoperative reverse Takotsubo cardiomyopathy are limited in the current literature. Hence, we present an 81-year-old female with shortness of breath and chest pain with exertion following a recent laparoscopic cholecystectomy. Based on her symptoms during the presentation, troponin and beta-natriuretic peptide were obtained. Results demonstrated an elevation in both markers, raising concerns for possible acute coronary syndrome (ACS). The patient subsequently underwent a transthoracic echocardiogram (TTE), which demonstrated findings consistent with reverse Takotsubo cardiomyopathy (rTTC). Therefore, we present a unique case of an 81-year-old female presenting with rTTC following laparoscopic cholecystectomy.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Aodish et al.)
Databáze: MEDLINE