Takotsubo cardiomyopathy and pituitary apoplexy: a case report.

BMC Cardiovasc Disord

Department of Cardiovascular Medicine, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China.

Published: May 2020

Background: Takotsubo cardiomyopathy (TTC) has been widely recognized in recent decades and is triggered by either physical or psychological stressors.

Case Presentation: A 70-year-old woman presented to the Emergency Department due to confusion, hypotension, fever, chills, and cough. She had a one-year history of diabetes insipidus. Pituitary function examination at admission revealed decreased thyroid, sex and adrenal hormones. Pituitary MRI displayed findings suggestive of nonhemorrhagic pituitary apoplexy. Electrocardiogram (ECG) revealed T-wave inversion and extended QT interval. Transthoracic echocardiogram (TTE) showed left ventricular apical dysplasia and ballooning, accompanied by reduced left ventricular ejection fraction. Coronary angiography (CAG) revealed no obvious coronary arterial stenosis. The left ventriculogram demonstrated an octopus clathrate appearance. Most ECG and TTE changes recovered 10 days later.

Conclusions: To the best of our knowledge, this is the first report of newly diagnosed TTC associated with pituitary apoplexy.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236106PMC
http://dx.doi.org/10.1186/s12872-020-01521-1DOI Listing

Publication Analysis

Top Keywords

pituitary apoplexy
12
takotsubo cardiomyopathy
8
left ventricular
8
pituitary
5
cardiomyopathy pituitary
4
apoplexy case
4
case report
4
report background
4
background takotsubo
4
cardiomyopathy ttc
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!