Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature

Takotsubo or stress cardiomyopathy is a non ischemic disease affecting the myocardium, which presents with typical features of myocardial ischemia. Although the presentation with acute central chest pain and shortness of breath mimics acute myocardial ischemia, there is an absence of actual disrupti...

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Main Authors: Irushna Perera, Sanjeewa Rajapakse, Shamila T. De Silva
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2020/2961856
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author Irushna Perera
Sanjeewa Rajapakse
Shamila T. De Silva
author_facet Irushna Perera
Sanjeewa Rajapakse
Shamila T. De Silva
author_sort Irushna Perera
collection DOAJ
description Takotsubo or stress cardiomyopathy is a non ischemic disease affecting the myocardium, which presents with typical features of myocardial ischemia. Although the presentation with acute central chest pain and shortness of breath mimics acute myocardial ischemia, there is an absence of actual disruption of cardiac blood supply via the coronaries due to acute plaque rupture or vascular spasm. The underlying pathophysiology of this clinical entity remains largely unclear, but a definite association with physical or emotional stress has been well established, hence the term “stress cardiomyopathy.” The list of potential triggers continues to grow as the disorder is increasingly detected by clinicians and cardiologists, with better clinical insight and improved availability of cardiac investigations. We report a patient with Takotsubo cardiomyopathy associated with severe hyponatremia.
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institution Kabale University
issn 2090-6404
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language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-c67794e93c6e43b8bdc136be60b7b87a2025-02-03T01:04:46ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/29618562961856Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of LiteratureIrushna Perera0Sanjeewa Rajapakse1Shamila T. De Silva2Colombo North Teaching Hospital, Ragama, Sri LankaColombo North Teaching Hospital, Ragama, Sri LankaColombo North Teaching Hospital, Ragama, Sri LankaTakotsubo or stress cardiomyopathy is a non ischemic disease affecting the myocardium, which presents with typical features of myocardial ischemia. Although the presentation with acute central chest pain and shortness of breath mimics acute myocardial ischemia, there is an absence of actual disruption of cardiac blood supply via the coronaries due to acute plaque rupture or vascular spasm. The underlying pathophysiology of this clinical entity remains largely unclear, but a definite association with physical or emotional stress has been well established, hence the term “stress cardiomyopathy.” The list of potential triggers continues to grow as the disorder is increasingly detected by clinicians and cardiologists, with better clinical insight and improved availability of cardiac investigations. We report a patient with Takotsubo cardiomyopathy associated with severe hyponatremia.http://dx.doi.org/10.1155/2020/2961856
spellingShingle Irushna Perera
Sanjeewa Rajapakse
Shamila T. De Silva
Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature
Case Reports in Cardiology
title Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature
title_full Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature
title_fullStr Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature
title_full_unstemmed Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature
title_short Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature
title_sort severe hyponatremia induced stress cardiomyopathy a case report and review of literature
url http://dx.doi.org/10.1155/2020/2961856
work_keys_str_mv AT irushnaperera severehyponatremiainducedstresscardiomyopathyacasereportandreviewofliterature
AT sanjeewarajapakse severehyponatremiainducedstresscardiomyopathyacasereportandreviewofliterature
AT shamilatdesilva severehyponatremiainducedstresscardiomyopathyacasereportandreviewofliterature