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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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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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. |
format | Article |
id | doaj-art-c67794e93c6e43b8bdc136be60b7b87a |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
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 |