Takotsubo cardiomyopathy resulting from exacerbation of chronic pancreatitis

Garbowska, Marta; Kurek, Krzysztof; Sobkowicz, Bożena

doi:10.5603/fc.a2016.0084

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Complete recovery of left ventricular systolic dysfunction and wall motions abnormalities is expected within 2 months of onset. 17-19 The unique feature of our case is persistent left ventricular apical akinesis at 4 months follow-up despite treatment with an ACE inhibitor and a β-blocker. We suspect that persistent alcohol abuse might be contributing to the delayed left ventricular recovery in our patient; however, it has not been reported in the literature.…”

Section: Discussionmentioning

confidence: 76%

Acute Pancreatitis Complicated by Stress Cardiomyopathy With Persistent Apical Akinesis: A Case Report and Literature Review

Abe

Simien

Hayes

2019

Journal of Investigative Medicine High Impact Case Reports

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Takotsubo cardiomyopathy or stress cardiomyopathy is a transient reversible cardiomyopathy characterized by regional wall motion abnormalities that usually extend beyond a single epicardial vascular distribution. It is often precipitated by acute physical or emotional stressors. In this article, we present the case of a postmenopausal woman who was admitted for management of acute pancreatitis. On the second day of admission, she developed shortness of breath and electrocardiographic abnormalities. A transthoracic echocardiogram revealed left ventricular systolic dysfunction and apical akinesis, and coronary angiography revealed normal coronary arteries. She was diagnosed with takotsubo cardiomyopathy triggered by acute pancreatitis and started on guideline-directed heart failure medications. A follow-up echocardiogram 4 months later revealed persistent systolic dysfunction and apical akinesis.

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Section: Discussionmentioning

confidence: 76%

Acute Pancreatitis Complicated by Stress Cardiomyopathy With Persistent Apical Akinesis: A Case Report and Literature Review

Abe

Simien

Hayes

2019

Journal of Investigative Medicine High Impact Case Reports

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“…The association of stress cardiomyopathy and acute pancreatitis has been rarely described. Nine cases were previously reported, seven out of nine patients were women and age over 55 years [ 15 , 16 ]. They all presented, often with chest pain and dyspnea a week after having a pancreatitis, troponin level was high in all patients.…”

Section: Discussionmentioning

confidence: 99%

“…Complete recovery of ventricular function and normalization of segmental kinetic disorders is generally seen within eight weeks [ 16 ]. More recent studies using two-dimensional echocardiography suggest that ventricular recovery may not be complete [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Acute Pancreatitis and Myocardial Infarction: Is the Heart Victim or Culprit? – A Case Report and Review of the Literature

Mouedder¹,

Ouazzani²,

Elouafi³

et al. 2020

Cureus

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Acute pancreatitis can be associated with electrical changes mimicking acute coronary syndrome with normal coronary arteries. The association of acute pancreatitis with ST-segment elevation and elevated cardiac enzymes has been reported in few observations. The pathophysiological mechanisms of this association remain poorly understood. We report the case of a 63-year-old woman presenting with chest pain, changes in the electrocardiogram and elevated cardiac enzymes with normal coronary arteries associated with acute pancreatitis. Stress cardiomyopathy or Takotsubo syndrome associated with acute pancreatitis was the most likely diagnosis in our case. Stress cardiomyopathy should be considered a possibility in case of patients with acute pancreatitis who present with clinical signs suggestive of acute coronary syndrome.

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Takotsubo cardiomyopathy complicating acute pancreatitis: a case report

Yeh

Carroll

2021

BMC Gastroenterol

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Background Acute pancreatitis as a trigger of Takotsubo cardiomyopathy has been infrequently described in the literature. Misdiagnosis of this phenomenon can often occur due to overlap in symptomology, particularly in those outside of the usual patient demographic. Case presentation A 27-year-old man with a history of alcohol abuse presented with epigastric and chest pain. Electrocardiography showed ischemic changes, and laboratory workup revealed elevated lipase and troponin. He was diagnosed with acute pancreatitis and managed presumptively as acute coronary syndrome. Subsequent coronary angiography was negative for obstructive coronary artery disease, and left ventriculography demonstrated basal hyperkinesis and apical akinesis, characteristic of Takotsubo cardiomyopathy. Conclusions Takotsubo cardiomyopathy is a rare complication of acute pancreatitis. Increased awareness of this phenomenon is required to prevent delays in diagnosis and avoid unnecessary interventions and complications.

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Takotsubo cardiomyopathy resulting from exacerbation of chronic pancreatitis

Cited by 4 publications

References 10 publications

Acute Pancreatitis Complicated by Stress Cardiomyopathy With Persistent Apical Akinesis: A Case Report and Literature Review

Acute Pancreatitis Complicated by Stress Cardiomyopathy With Persistent Apical Akinesis: A Case Report and Literature Review

Association of Acute Pancreatitis and Myocardial Infarction: Is the Heart Victim or Culprit? – A Case Report and Review of the Literature

Takotsubo cardiomyopathy complicating acute pancreatitis: a case report

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