Takotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report
Autor: | Abdellah Hedjoudje, Jean-Paul Cervoni, Thierry Thevenot, Cyrille Patry, Morgan Faivre, Marion Chatot |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Delirium tremens Ejection fraction Hepatology business.industry ST elevation Gastroenterology Cardiomyopathy Alcoholic hepatitis Cirrhotic patient medicine.disease 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Internal medicine Cardiology Medicine 030211 gastroenterology & hepatology Acute on chronic liver failure Singular case business |
Zdroj: | Clinics and Research in Hepatology and Gastroenterology. 44:e54-e58 |
ISSN: | 2210-7401 |
Popis: | A 64-year-old cirrhotic woman was admitted for alcoholic hepatitis associated with renal failure. Subsequently, she displayed symptoms of alcohol withdrawal progressing to delirium tremens. During hospitalization, she developed acute respiratory distress. The electrocardiogram showed diffuse anteroseptal ST elevation. Transthoracic echocardiography revealed systolic left ventricular apical balloon-like dilation, hypokinesis of the left ventricular mid- and apical segments, and a left ventricular ejection fraction of 30%. Coronary angiography was normal and led to the diagnosis of Takotsubo cardiomyopathy. This report describes a singular case of Takotsubo cardiomyopathy precipitated by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure. |
Databáze: | OpenAIRE |
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