LETTER TO THE EDITOR
Takotsubo cardiomyopathy in the course of Hashimoto’s disease – a description of two cases
1
Department of Invasive Cardiology, Medical University in Bialystok, Poland
2
Department of Clinical Medicine, Medical University in Bialystok, Poland
3
Department of Cardiology, Medical University in Bialystok, Poland
4
Department of Nephrology, Dialysis and Internal Medicine, Warsaw Medical University, Poland
Submission date: 2017-07-19
Final revision date: 2017-10-21
Acceptance date: 2017-11-13
Publication date: 2019-09-30
Medical Studies 2019;35(3):246-251
TOPICS
ABSTRACT
Takotsubo cardiomyopathy (TTC) is a transient systolic dysfunction involving left ventricular apex with ischemic ECG findings and the absence of significant obstructive coronary artery disease. Clinical course of TTC is similar to the course of acute coronary syndromes. TTC is also called „stress cardiomyopathy”, because very often its appearance is preceded by stressful agent either physical or mental. Over 90% of the patients with TTC account for women during postmenopausal period, usually aged 60-80 years and without cardiovascular risk factors.
Thyroid dysfunctions, generally hyperthyroidism, are more frequently affirmed in younger female patients with stress cardiomyopathy. We present two cases of female patients with TTC and Hashimoto disease diagnosed in the course of the disease.α
REFERENCES (20)
1.
Sharkey SW, Lesser JR, Zenovich AG, Maron MS, Lindberg J, Longe TF, Maron BJ. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 2005; 111: 472-479.
2.
Prasad A. Apical ballooning syndrome: an important differentia diagnosis of acute myocardial infarction. Circulation 2007; 115: e56-e59.
3.
Sato H, Tateishi H, Uchida T. Tako-tsubo-like left ventricular dysfunction due to multivessel coronary spasm. In: Kodama K, Haze K, Hori M (eds). Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo, Kagakuhyoronsha Publishing Co, 1990: 56-64.
4.
Nef HM, Mollmann H, Elsasser A. Tako-tsubo cardiomyopathy (apical ballooning). Heart 2007; 93: 1309-1315.
5.
Sarullo FM, Di Franco A, Di Monaco A, Magro S. Tako-Tsubo cardiomyopathy and thyroid dysfunction. Int.
7.
Bybee K, Kara T, Prasad A, Lerman A, Barsness GW, Wright RS, Rihal CS. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics acute myocardial infarction. Ann Int Med 2004; 141: 858-865.
8.
Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 2006; 27: 1523-1529.
9.
Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, Gerstenblith G, Wu KC, Rade JJ, Bivalacqua TJ, Champion HC. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005; 352: 539-548.
10.
Zubrinich CM, Omar Farouque HM, Rochford SE, Sutherland MF. Tako-tsubo-like cardiomyopathy after EpiPen administration. Intern Med J 2008; 38: 862-865.
11.
Mori H, Ishikawa S, Kojima S, Hayashi J, Watanabe Y, Hoffman JI, Okino H. Increased responsiveness of left ventricular apical myocardium to adrenergic stimuli. Cardiovasc Res 1993; 27: 192-198.
12.
Otsuka M, Kohno K, Itoh A. Periodic fluctuation of blood pressure and transient left ventricular apical ballooning in pheochromocytoma. Heart 2006; 92: 1837.
13.
Naredi S, Lambert G, Eden E, Zäll S, Runnerstam M, Rydenhag B, Friberg P. Increased sympathetic nervous activity in patients with nontraumatic subarachnoid hemorrhage. Stroke 2000; 31: 901-906.
14.
Adameova A, Abdellatif Y, Dhalla NS. Role of the excessive amounts of circulating catecholamines and glucocorticoids in stress-induced heart disease. Can J Physiol Pharmacol 2009; 87: 493-514.
15.
Gerald SL. Catecholamine sensitivity, thyroid hormone and the heart: a reevaluation. Am J Med 1971; 50: 413-420.
16.
Pereira N, Parisi A, Dec GW, Choo J, Hajjar R, Gordon PC. Myocardial stunning in hyperthyroidism. Clin Cardiol 2000; 23: 298-300.
17.
Micallef T, Gruppetta M, Cassar A, Fava S. Takotsubo cardiomyopathy and severe hypothyroidism. J Cardiovasc Med 2011; 12: 824-827.
18.
Gupta Y, Ammini AC. Vitiligo, hypothyroidism and cardiomyopathy. Indian J Endocrinol Metab 2012; 16: 463-465.
19.
Lee SJ, Kang JG, Ryu OH, Kim CS, Ihm SH, Choi MG, Yoo HJ, Hong KS. The relationship of thyroid hormone status with myocardial function in stress cardiomyopathy. Eur J Endocrinol 2009; 160: 799-806.
20.
Sakaki T, Fujioka Y, Akagami T, Masai M, Shimizu H, Sakoda T. Cardiac wall motion abnormalities observed in a patient with transient hyperthyroidism. Jpn Heart J 2004; 45: 1071-1077.
| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
