scholarly journals Takotsubo Cardiomyopathy Associated with Polycythemia Vera

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Sijan Basnet ◽  
Priya Rajagopalan ◽  
Rashmi Dhital ◽  
Biswaraj Tharu

Takotsubo cardiomyopathy is characterized by transient apical ballooning with preserved basal ventricular function triggered by physical or emotional stressors. We present a case of a 75-year-old man referred to our facility for the management of acute myocardial infarction later diagnosed as takotsubo cardiomyopathy. We believe platelet-mediated adrenaline release from massive thrombocytosis might have been the precipitating factor for the pathogenesis of takotsubo cardiomyopathy.

2018 ◽  
pp. bcr-2017-222451
Author(s):  
Rosalyn Adigun ◽  
Samantha Morley ◽  
Abhiram Prasad

Apical ballooning syndrome (ABS) is an under recognised clinical entity characterised by acute reversible left ventricular systolic dysfunction that mimics acute myocardial infarction in the absence of obstructive coronary artery disease; typically occurring in the setting of profound stress.1 ABS disproportionately affects older women and recurrences are infrequent. We, hereby, describe a rare phenomenon of recurrent ABS in an elderly male patient, 10 years apart, presenting with the same left ventricular morphological appearance following non-cardiac surgeries. The case illustrates the importance of considering ABS in the differential diagnosis of perioperative acute myocardial infarction in older men undergoing major surgery.


Author(s):  
Anne Hedegaard ◽  
Rasmus Sejersten Ripa ◽  
Julia S. Johansen ◽  
Erik Jørgensen ◽  
Jens Kastrup

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