Korean Circ J.  2011 Aug;41(8):479-481. 10.4070/kcj.2011.41.8.479.

Tako-Tsubo Cardiomyopathy Triggered by Misdirection

• Dahdouh Z
• Wain-Hobson J
• Roule V
• Dahdouh H
• Labombarda F
• Abdel-Massih T
• Sarkis A
• Grollier G

• KMID: 1826357
• DOI: http://doi.org/10.4070/kcj.2011.41.8.479

Abstract

Tako-Tsubo cardiomyopathy (TTC), also known as transient left ventricular apical ballooning syndrome or stress-induced cardiomyopathy, is a novel reversible cardiomyopathy mimicking acute myocardial infarction without epicardial coronary artery disease. The exact physiopathology of TTC remains unclear. It is usually precipitated by acute physical or emotional stress and it most commonly affects postmenopausal women. The growing number of clinical cases of TTC have demonstrated a wide field of possible etiologies beyond the emotional stress. We report a case of a 67-year-old postmenopausal woman who was being supplemented by enteral feeding via a nasogastric tube and who developed TTC due to misdirection, probably favored by the mechanical blockade by the nasogastric tube, while swallowing the drug pills.

Keyword

Tako-tsubo cardiomyopathy; Misdirection; Malnurition

MeSH Terms

Aged
Cardiomyopathies
Coronary Artery Disease
Deglutition
Enteral Nutrition
Female
Humans
Myocardial Infarction
Stress, Psychological
Takotsubo Cardiomyopathy

Figure

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  Fig. 1 A: a per-critical electrocardiogram showing anterior ST-segment elevation. B: normal initial electrocardiogram.

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  Fig. 2 Left ventricular angiography showing apical ballooning in systole (A) and diastole (B).

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  Fig. 3 Cardiac ultrasound showing apical ballooning in systole (A) and diastole (B).

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