Publication Date

2014

Journal Title

Tex Heart Inst J

Abstract

In takotsubo cardiomyopathy, the clinical appearance is that of an acute myocardial infarction in the absence of obstructive coronary artery disease, with apical ballooning of the left ventricle. The condition is usually precipitated by a stressful physical or psychological experience. The mechanism is unknown but is thought to be related to catecholamine excess. We present the case of a 67-year-old woman who experienced cardiogenic shock caused by takotsubo cardiomyopathy, immediately after undergoing elective direct-current cardioversion for atrial fibrillation. After a course complicated by left ventricular failure, cardiogenic shock, and ventricular tachycardia, she made a complete clinical and echocardiographic recovery In addition to this case, we discuss the possible direct effect of cardioversion in takotsubo cardiomyopathy.

Volume Number

41

Issue Number

2

Pages

184-187

Document Type

Article

EPub Date

2014/05/09

Status

Faculty, Northwell Researcher

Facility

School of Medicine; Northwell Health

Primary Department

Cardiology

PMID

24808781


Included in

Cardiology Commons

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