Tako-tsubo cardiomyopathy precipitated by alcohol withdrawal | Zendy

Payam Yazdan-Ashoori | Zendy; Robert B. Nichols | Zendy; Adrián Baranchuk | Zendy

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Tako-tsubo cardiomyopathy precipitated by alcohol withdrawal

Author(s) -

Payam Yazdan-Ashoori,

Robert B. Nichols,

Adrián Baranchuk

Publication year - 2012

Publication title -

cardiology journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.573

H-Index - 33

eISSN - 1897-5593

pISSN - 1898-018X

DOI - 10.5603/cj.2012.0013

Subject(s) - medicine , cardiology , cardiomyopathy , confusion , coronary angiography , troponin , emergency department , alcoholic cardiomyopathy , coronary artery disease , t wave , heart failure , electrocardiography , myocardial infarction , psychiatry , psychology , psychoanalysis

A 57 year-old woman with no history of cardiac disease presented to the emergency department with confusion and seizures secondary to alcohol withdrawal. Elevated troponin levels and an electrocardiogram demonstrating global T-wave inversions prompted coronary angiography, which revealed coronary vessels free of significant disease. An echocardiogram showed both hypokinesis of the left-ventricular mid-segments with apical involvement and a hyperkinetic base consistent with tako-tsubo cardiomyopathy (TCM). Several clinical conditions have been reported as triggers of TCM. We report a case of TCM in a post-menopausal woman that was precipitated by alcohol withdrawal.

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