Open AccessCerebral Hemorrhage: Precipitating Event for a Tako‐tsubo‐like Cardiomyopathy?
Author(s) -
Rahimi Ali R.,
Katayama Masanobu,
Mills Jacob
Publication year - 2008
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20165
Subject(s) - medicine , subarachnoid hemorrhage , cardiology , cardiomyopathy , etiology , presentation (obstetrics) , myocardial infarction , takotsubo syndrome , emotional stress , sudden cardiac death , heart failure , surgery
There have been some reports in medical literature of patients with profound, reversible left‐ventricular (LV) dysfunction after sudden emotional stress. Originally, in Japan, the pattern was called tako‐tsubo cardiomyopathy. ST‐segment elevation is seen with this syndrome, and it may look like acute ST‐elevation myocardial infarction. However, it has also been well established that a subarachnoid hemorrhage can manifest with cardiac abnormalities. The authors describe a case involving a cerebral hemorrhage and a potential tako‐tsubo‐like cardiomyopathy in the same patient. In conclusion, even though the patient's presentation appears to be a tako‐tsubo syndrome, the radiographic evidence of a cerebral hemorrhage presents as a stronger etiology for the cardiac changes that occur in our patient. Copyright © 2008 Wiley Periodicals, Inc.