Tako-Tsubo cardiomyopathy following colonoscopy: Insights on pathogenesis

Takotsubo cardiomyopathy after an upper and lower endoscopy: a case report and review of the literature

“…There have been a total of six reported cases of post-GI endoscopy-induced takotsubo cardiomyopathy [7, 10–13]. Table 1 summarizes the procedures, associated cardiac findings, management, and etiologies thought to be responsible for stress cardiomyopathy in these reported cases [7, 12, 13]. Two of these studies are not included in the chart because they were published in the Japanese language [10, 11].…”

Diagnosis of Takotsubo Cardiomyopathy

“…31, 32 Emotional stressors range from a discrete event such as receipt of bad news or exposure to a stressful event, among many others, to ongoing stressful situations, such as moving to a new residence, involvement in legal proceedings or ongoing dissatisfaction with relationships at home or at work. Physical stressors typically involve major surgery, orthopedic trauma, exacerbation of obstructive airways disease, and diagnostic/therapeutic cardiac 33 and non-cardiac procedures, 34 infections, 22 and neurologic catastrophes 35 to name the cardiomyopathy began to be recognized in the rest of the world. Desmet et al reported a case series of 13 white patients from Belgium with presentations similar to that of the Japanese apical ballooning syndrome, 5 and Bybee et al reported a series of 16 patients from the USA.…”

Takotsubo cardiomyopathy in a patient with an ascending colon mass

“…This could be due to vagal stimulus withdrawal in the presence of elevated catecholamines leading to LV systolic dysfunction. Mohammad et al reported a 60-year-old female with syncope and GI bleed who underwent colonoscopy [12]. The day after colonoscopy she developed TTC.…”