scholarly journals A Myasthenic Crisis Complicated by a Takotsubo Cardiomyopathy

Cureus ◽  
2022 ◽  
Author(s):  
Amit Ramrattan ◽  
Iovank Gonzalez ◽  
Harun Abdullah ◽  
Kevin Maraj ◽  
Mariana Browne
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Myasthenic Crisis

scholarly journals Myasthenic crisis-induced Takotsubo cardiomyopathy in an elderly man: A case report of an underestimated but deadly combination

2021 ◽  
Vol 13 (1) ◽  
pp. 21-27
Author(s):  
Yvonne Kuo ◽  
Thomas H Ottens ◽  
Ivo van der Bilt ◽  
Ruud WM Keunen ◽  
Sakir Akin
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Myasthenic Crisis

scholarly journals Takotsubo Cardiomyopathy Mimicking Myocardial Infarction in a Man with Myasthenic Crisis: A Case Report and Literature Review

2018 ◽  
Vol 6 (9) ◽  
pp. 184-188 ◽  
Author(s):  
Taylor M. Douglas ◽  
Perry Wengrofsky ◽  
Syed Haseeb ◽  
Eric Kupferstein ◽  
Pramod Theetha Kariyanna ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Literature Review ◽  
Takotsubo Cardiomyopathy ◽  
Myasthenic Crisis

Takotsubo Cardiomyopathy in Myasthenic Crisis

2020 ◽  
Vol 21 (4) ◽  
pp. 244-245
Author(s):  
Matthew Katz ◽  
Stephen Walsh ◽  
Ben Tsang ◽  
Joel Corbett ◽  
Arman Sabet ◽  
...  
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Myasthenic Crisis

scholarly journals Takotsubo Cardiomyopathy Complicated with Left Ventricular Thrombus in Myasthenic Crisis: A Case Report

2019 ◽  
Vol 20 ◽  
pp. 743-747 ◽  
Author(s):  
Natnicha Pongbangli ◽  
Sasivimon Jae-aue ◽  
Wanwarang Wongcharoen ◽  
Arintaya Phrommintikul
Keyword(s):  
Case Report ◽  
Takotsubo Cardiomyopathy ◽  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
Myasthenic Crisis ◽  
Ventricular Thrombus

scholarly journals 059 Takotsubo cardiomyopathy and myasthenic crises: a case series

2019 ◽  
Vol 90 (e7) ◽  
pp. A19.2-A19
Author(s):  
Matthew Katz ◽  
Stephen Walsh ◽  
Benjamin Tsang ◽  
Pamela McCombe ◽  
Arman Sabet
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Acute Stress ◽  
Significant Coronary Artery Disease ◽  
Case Series ◽  
Apical Ballooning ◽  
Left Ventricular ◽  
Myasthenic Crisis ◽  
List Type ◽  
Coronary Syndrome ◽  
Cardiac Status

IntroductionTakotsubo cardiomyopathy (TCM) is an acute, reversible cardiomyopathy that can mimic acute coronary syndrome.1 It is characterised by left ventricular dysfunction, electrocardiogram (ECG) changes and transient apical ballooning in the absence of significant coronary artery disease.1 It is usually triggered by acute stress with catecholamine surge but the exact pathogenesis is not known.1 Takotsubo cardiomyopathy has been described in patients with myasthenic crisis. We present the first and largest case series of four patients with TCM in the setting of myasthenic crisis and discuss possible causes.MethodsTwo patients from each tertiary neurologic centre were identified by their treating neurologist for inclusion in the series. We performed a review of their case notes with respect to history, examination, investigations and management. A brief literature review was also completed.ResultsThe mean age was 78 with a 1:1 female to male ratio. Three of the patients were newly diagnosed with myasthenia gravis (MG) at the time of their TCM. All patients were AChRab positive. One patient had a previous thymectomy but the others had no evidence of thymoma.On review of the literature most cases of TCM in myasthenic crisis occurred in older females. Abnormalities of the ECG were universal. Most cases did not have a thymoma or history of thymectomy.ConclusionTakotsubo cardiomyopathy may be easily overlooked in those presenting with myasthenic crises as they share overlapping clinical features. Rigorous attention to the cardiac status of these patients, especially the ECG, may help to avoid missing this important diagnosis.ReferenceAkashi YJ, Goldstein DS, Barbaro G, Ueyama T. Takotsubo cardiomyopathy: a new form of acute, reversible heart failure. Circulation 2008;118:2754–2762.

scholarly journals Pulmonary Edema in Myasthenic Crisis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Uttara Swati Anand ◽  
Stalin Viswanathan ◽  
Jayanthi Arulneyam
Keyword(s):  
Myasthenia Gravis ◽  
Pulmonary Edema ◽  
Intravenous Immunoglobulin ◽  
Takotsubo Cardiomyopathy ◽  
English Language ◽  
Ventricular Dysfunction ◽  
Medical Literature ◽  
Left Ventricular ◽  
Fluid Restriction ◽  
Myasthenic Crisis

We report a previously asymptomatic 50-year-old lady who came with myasthenic crisis as initial presentation of myasthenia gravis. She developed pulmonary edema following intravenous immunoglobulin administration and had ischemic changes in ECG and left ventricular dysfunction on echocardiography. She improved with diuretics, dobutamine, and fluid restriction alone. This is the first report in English-language medical literature describing the association between myasthenic crisis and likely takotsubo cardiomyopathy-related pulmonary edema following intravenous immunoglobulin administration.

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