Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report
Introduction: Takotsubo syndrome (TTS) expresses transient wall motion abnormality of the left ventricle, reportedly induced by sympathetic overstimulation. Takotsubo syndrome is unlikely to be included in the differential diagnosis of heart transplant patients with sudden cardiac dysfunction given...
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eScholarship Publishing, University of California
2025-01-01
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Series: | Clinical Practice and Cases in Emergency Medicine |
Online Access: | https://escholarship.org/uc/item/7xz6g72m |
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author | Takeshi Shikama Mio Shikama Naoki Hayase Kent Doi |
author_facet | Takeshi Shikama Mio Shikama Naoki Hayase Kent Doi |
author_sort | Takeshi Shikama |
collection | DOAJ |
description | Introduction: Takotsubo syndrome (TTS) expresses transient wall motion abnormality of the left ventricle, reportedly induced by sympathetic overstimulation. Takotsubo syndrome is unlikely to be included in the differential diagnosis of heart transplant patients with sudden cardiac dysfunction given the complete denervation occurring during the transplantation. Case Report: In this case report we describe the case of a female heart transplant recipient who showed apical ballooning on an echocardiogram following status epilepticus. Detailed clinical examinations and her clinical course confirmed the diagnosis of TTS. An iodine-123 meta iodobenzylguanidine myocardial scintigraphy revealed partial cardiac sympathetic reinnervation in the transplanted heart. Conclusion: This case demonstrates that TTS can manifest itself even in a transplanted heart with partial sympathetic reinnervation. |
format | Article |
id | doaj-art-abe283a1e51e4b89be5ff6e47df91fa1 |
institution | Kabale University |
issn | 2474-252X |
language | English |
publishDate | 2025-01-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Clinical Practice and Cases in Emergency Medicine |
spelling | doaj-art-abe283a1e51e4b89be5ff6e47df91fa12025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-0191172010.5811/cpcem.41970cpcem-9-17Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case ReportTakeshi Shikama0Mio Shikama1Naoki Hayase2Kent Doi3The University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, JapanThe University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, JapanThe University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, JapanThe University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, JapanIntroduction: Takotsubo syndrome (TTS) expresses transient wall motion abnormality of the left ventricle, reportedly induced by sympathetic overstimulation. Takotsubo syndrome is unlikely to be included in the differential diagnosis of heart transplant patients with sudden cardiac dysfunction given the complete denervation occurring during the transplantation. Case Report: In this case report we describe the case of a female heart transplant recipient who showed apical ballooning on an echocardiogram following status epilepticus. Detailed clinical examinations and her clinical course confirmed the diagnosis of TTS. An iodine-123 meta iodobenzylguanidine myocardial scintigraphy revealed partial cardiac sympathetic reinnervation in the transplanted heart. Conclusion: This case demonstrates that TTS can manifest itself even in a transplanted heart with partial sympathetic reinnervation.https://escholarship.org/uc/item/7xz6g72m |
spellingShingle | Takeshi Shikama Mio Shikama Naoki Hayase Kent Doi Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report Clinical Practice and Cases in Emergency Medicine |
title | Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report |
title_full | Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report |
title_fullStr | Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report |
title_full_unstemmed | Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report |
title_short | Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report |
title_sort | takotsubo syndrome following status epilepticus in a heart transplant recipient a case report |
url | https://escholarship.org/uc/item/7xz6g72m |
work_keys_str_mv | AT takeshishikama takotsubosyndromefollowingstatusepilepticusinahearttransplantrecipientacasereport AT mioshikama takotsubosyndromefollowingstatusepilepticusinahearttransplantrecipientacasereport AT naokihayase takotsubosyndromefollowingstatusepilepticusinahearttransplantrecipientacasereport AT kentdoi takotsubosyndromefollowingstatusepilepticusinahearttransplantrecipientacasereport |