DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM

The first published case of Diabetic Ketoacidosis-induced Takotsubo cardiomyopathy was in 2009. Our patient is the 1st reported case of Diabetic Ketoacidosis- (DKA-) induced Takotsubo cardiomyopathy (TC) in a patient with known hypertrophic cardiomyopathy (HOCM) in the United States. In the literatu...

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Main Authors: Ayla Gordon, Gina LaCapra, Roberto Roberti
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2017/4287125
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author Ayla Gordon
Gina LaCapra
Roberto Roberti
author_facet Ayla Gordon
Gina LaCapra
Roberto Roberti
author_sort Ayla Gordon
collection DOAJ
description The first published case of Diabetic Ketoacidosis-induced Takotsubo cardiomyopathy was in 2009. Our patient is the 1st reported case of Diabetic Ketoacidosis- (DKA-) induced Takotsubo cardiomyopathy (TC) in a patient with known hypertrophic cardiomyopathy (HOCM) in the United States. In the literature, there are only two examples linking DKA to TC; however, this report focuses on the biochemical and physiological causes of TC in a patient with known HOCM and new-onset DKA. TC in previously diagnosed HOCM poses particular complications. With the above patient’s baseline outflow tract obstruction due to septal hypertrophy, the acute reduction in EF due to TC resulted in transient drop in brain perfusion and, therefore, syncope.
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institution Kabale University
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language English
publishDate 2017-01-01
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series Case Reports in Critical Care
spelling doaj-art-b17cbb31c7da4bc09969ae92b13e24e92025-08-20T03:39:23ZengWileyCase Reports in Critical Care2090-64202090-64392017-01-01201710.1155/2017/42871254287125DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCMAyla Gordon0Gina LaCapra1Roberto Roberti2Overlook Medical Center, Summit, NJ, USAOverlook Medical Center, Summit, NJ, USAOverlook Medical Center, Summit, NJ, USAThe first published case of Diabetic Ketoacidosis-induced Takotsubo cardiomyopathy was in 2009. Our patient is the 1st reported case of Diabetic Ketoacidosis- (DKA-) induced Takotsubo cardiomyopathy (TC) in a patient with known hypertrophic cardiomyopathy (HOCM) in the United States. In the literature, there are only two examples linking DKA to TC; however, this report focuses on the biochemical and physiological causes of TC in a patient with known HOCM and new-onset DKA. TC in previously diagnosed HOCM poses particular complications. With the above patient’s baseline outflow tract obstruction due to septal hypertrophy, the acute reduction in EF due to TC resulted in transient drop in brain perfusion and, therefore, syncope.http://dx.doi.org/10.1155/2017/4287125
spellingShingle Ayla Gordon
Gina LaCapra
Roberto Roberti
DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
Case Reports in Critical Care
title DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
title_full DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
title_fullStr DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
title_full_unstemmed DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
title_short DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM
title_sort dka induced takotsubo cardiomyopathy in patient with known hocm
url http://dx.doi.org/10.1155/2017/4287125
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AT ginalacapra dkainducedtakotsubocardiomyopathyinpatientwithknownhocm
AT robertoroberti dkainducedtakotsubocardiomyopathyinpatientwithknownhocm