Tako-tsubo Cardiomyopathy following Bronchial Asthma Attack

Takotsubo cardiomyopathy(TCM) is a reversible cardiomyopathy characterized by left ventricular  dysfunction  due  to  transient  left  ventricular  apical hypokinesia  or  akinesia  and basal hyperkinesis following some trigger factors like physical  or emotional stressful events and  may mimic myocardial infarction  especially in middle age females.  Pathophysiology of TCM  is  not  clear  but  it  is  associated  with  excessive  adrenergic  stimulation[1-3].  TCM  is usually  precipitated  by  acute  physical  and  emotional  stresssors,  use  of  exogenous catecholamines or exacerbation of chronic illnesses like asthma attack. We report a case of  TCM  after  an  asthma  attack  as  a  potential  stressor.  This  is  an  interesting  association between asthma attack and TCM.