Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens
Reverse takotsubo cardiomyopathy (rTTC) is a rare variant of takotsubo cardiomyopathy (TTC) which is characterized by reversible left ventricular (LV) dysfunction. Emotional and physical stress have been implicated in triggering TTC especially in postmenopausal women. TTC and its variants are becomi...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/5413237 |
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| author | Gift Echefu Daniel Hammett Amir Ausef Lance LaMotte |
| author_facet | Gift Echefu Daniel Hammett Amir Ausef Lance LaMotte |
| author_sort | Gift Echefu |
| collection | DOAJ |
| description | Reverse takotsubo cardiomyopathy (rTTC) is a rare variant of takotsubo cardiomyopathy (TTC) which is characterized by reversible left ventricular (LV) dysfunction. Emotional and physical stress have been implicated in triggering TTC especially in postmenopausal women. TTC and its variants are becoming more recognized due to the widespread adoption of early coronary angiography in the setting of acute coronary syndromes. A man in his late 50s presented to the emergency department with left lower extremity pain, swelling, and cyanosis. Clinical assessment was consistent with phlegmasia cerulea dolens, with deep venous thrombosis detected by venous duplex ultrasound. During his admission, he developed clinical and EKG findings suggestive of acute coronary syndrome. Emergent coronary angiography and ventriculography revealed basal and midventricular hypokinesis with hyperdynamic left ventricular apex, depressed LV dysfunction without coronary artery obstruction diagnostic of reverse takotsubo cardiomyopathy. Venous thromboembolism is a rare finding but has been associated with takotsubo cardiomyopathy and should be considered in the appropriate setting. |
| format | Article |
| id | doaj-art-a1ed7a52684b4cb893922035686615bb |
| institution | Kabale University |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-a1ed7a52684b4cb893922035686615bb2025-02-03T05:57:27ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/5413237Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea DolensGift Echefu0Daniel Hammett1Amir Ausef2Lance LaMotte3Baton Rouge General Medical Center Internal Medicine Residency ProgramBaton Rouge General Medical Center Internal Medicine Residency ProgramHospital Medicine GroupBaton Rouge Cardiology CenterReverse takotsubo cardiomyopathy (rTTC) is a rare variant of takotsubo cardiomyopathy (TTC) which is characterized by reversible left ventricular (LV) dysfunction. Emotional and physical stress have been implicated in triggering TTC especially in postmenopausal women. TTC and its variants are becoming more recognized due to the widespread adoption of early coronary angiography in the setting of acute coronary syndromes. A man in his late 50s presented to the emergency department with left lower extremity pain, swelling, and cyanosis. Clinical assessment was consistent with phlegmasia cerulea dolens, with deep venous thrombosis detected by venous duplex ultrasound. During his admission, he developed clinical and EKG findings suggestive of acute coronary syndrome. Emergent coronary angiography and ventriculography revealed basal and midventricular hypokinesis with hyperdynamic left ventricular apex, depressed LV dysfunction without coronary artery obstruction diagnostic of reverse takotsubo cardiomyopathy. Venous thromboembolism is a rare finding but has been associated with takotsubo cardiomyopathy and should be considered in the appropriate setting.http://dx.doi.org/10.1155/2022/5413237 |
| spellingShingle | Gift Echefu Daniel Hammett Amir Ausef Lance LaMotte Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens Case Reports in Cardiology |
| title | Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens |
| title_full | Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens |
| title_fullStr | Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens |
| title_full_unstemmed | Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens |
| title_short | Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens |
| title_sort | reverse takutsubo cardiomyopathy in a patient with phlegmasia cerulea dolens |
| url | http://dx.doi.org/10.1155/2022/5413237 |
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