Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
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BIVENTRICULAR TAKOTSUBO CARDIOMYOPATHY ASSOCIATED WITH EPILEPSY

  • Koo, Namho (Department of Internal Medicine, KEPCO Medical Center) ;
  • Yoon, Byung Woo (Department of Internal Medicine, KEPCO Medical Center) ;
  • Song, Yonggeon (Department of Internal Medicine, KEPCO Medical Center) ;
  • Lee, Chang Kyun (Department of Internal Medicine, KEPCO Medical Center) ;
  • Lee, Tae Yeon (Department of Internal Medicine, KEPCO Medical Center) ;
  • Hong, Ji Yeon (Division of Cardiology, KEPCO Medical Center)
  • Received : 2015.06.02
  • Accepted : 2015.11.18
  • Published : 2015.12.27
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Abstract

We describe a case of Takotsubo cardiomyopathy in an elderly woman after status epilepticus. In an emergency echocardiography, not only left ventricular apical ballooning but also right ventricular apical hypokinesia was observed. After a medical management, the patient's condition was improved and a follow-up echocardiography showed substantial recovery of left and right ventricular apical ballooning.

Keywords

References

  1. Ako J, Sudhir K, Farouque HM, Honda Y, Fitzgerald PJ. Transient left ventricular dysfunction under severe stress: brain-heart relationship revisited. Am J Med 2006;119:10-7. https://doi.org/10.1016/j.amjmed.2005.08.022
  2. Ohtsuka T, Hamada M, Kodama K, Sasaki O, Suzuki M, Hara Y, Shigematsu Y, Hiwada K. Images in Cardiovascular Medicine. Neurogenic stunned myocardium. Circulation 2000;101:2122-4. https://doi.org/10.1161/01.CIR.101.17.2122
  3. Stollberger C, Huber JO, Enzelsberger B, Finsterer J. Fatal outcome of epileptic seizure-induced takotsubo syndrome with left ventricular rupture. Eur J Neurol 2009;16:e116-7. https://doi.org/10.1111/j.1468-1331.2009.02619.x
  4. Schneider F, Kadel C, Pagitz M, Sen S. Takotsubo cardiomyopathy and elevated troponin levels following cerebral seizure. Int J Cardiol 2010;145:586-7. https://doi.org/10.1016/j.ijcard.2010.05.072
  5. Daoko J, Rajachandran M, Savarese R, Orme J. Biventricular takotsubo cardiomyopathy: case study and review of literature. Tex Heart Inst J 2013;40:305-11.
  6. Sato H, Tateishi H, Uchida T, Dote K, Ishihara M. Tako-tsubo-like left ventricular dysfunction due to multivessel coronary spasm. In: Kodama K, Haze K, Hori M, editors. Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo: Kagakuhyoronsya;1990. p.56-64.
  7. Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 2006;27:1523-9. https://doi.org/10.1093/eurheartj/ehl032
  8. Yun MH, Choi S, Park JY, Kim CH, Beom JW, Park G, Kim SH. Coincident takotsubo cardiomyopathy and coronary artery disease. Korean J Med 2012;83:791-5. https://doi.org/10.3904/kjm.2012.83.6.791
  9. Yoshikawa T. Takotsubo cardiomyopathy, a new concept of cardiomyopathy: clinical features and pathophysiology. Int J Cardiol 2015;182:297-303. https://doi.org/10.1016/j.ijcard.2014.12.116
  10. Meierkord H, Shorvon S, Lightman SL. Plasma concentrations of prolactin, noradrenaline, vasopressin and oxytocin during and after a prolonged epileptic seizure. Acta Neurol Scand 1994;90:73-7. https://doi.org/10.1111/j.1600-0447.1994.tb01559.x
  11. Simon RP, Aminoff MJ, Benowitz NL. Changes in plasma catecholamines after tonic-clonic seizures. Neurology 1984;34:255-7. https://doi.org/10.1212/WNL.34.2.255
  12. Shimizu M, Kagawa A, Takano T, Masai H, Miwa Y. Neurogenic stunned myocardium associated with status epileptics and postictal catecholamine surge. Intern Med 2008;47:269-73. https://doi.org/10.2169/internalmedicine.47.0499
  13. Lee JW, Kim JY, Youn YJ, Sung JK, Lee NS, Lee KH, Yoo BS, Lee SH, Yoon J, Choe KH. Clinical characteristics and prognostic factors of stress-induced cardiomyopathy. Korean Circ J 2010;40:277-82. https://doi.org/10.4070/kcj.2010.40.6.277
  14. Le Ven F, Pennec PY, Timsit S, Blanc JJ. Takotsubo syndrome associated with seizures: an underestimated cause of sudden death in epilepsy? Int J Cardiol 2011;146:475-9. https://doi.org/10.1016/j.ijcard.2010.12.028
  15. Haghi D, Athanasiadis A, Papavassiliu T, Suselbeck T, Fluechter S, Mahrholdt H, Borggrefe M, Sechtem U. Right ventricular involvement in Takotsubo cardiomyopathy. Eur Heart J 2006;27:2433-9. https://doi.org/10.1093/eurheartj/ehl274

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