Stroke and Takotsubo cardiomyopathy: Is there more than just cause and effect?

Abstract Takotsubo cardiomyopathy has been described as a consequence of stroke or a cardioembolic source of stroke. We present the case of a 43 year-old woman who suffered from Takotsubo cardiomyopathy and subsequently developed a large left cerebellar infarct without significant neurological defic...

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Bibliographic Details
Published inInternational journal of cardiology Vol. 148; no. 2; pp. e37 - e39
Main Authors Lee, Will, Profitis, Konstantinos, Barlis, Peter, Van Gaal, William J
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ireland Ltd 14.04.2011
Subjects
Adult
Cardiomyopathy
Cardiovascular
Catecholamine
Electrocardiography
Female
Humans
Magnetic Resonance Imaging
Myocardial ischaemia
Myocardial Stunning - diagnosis
Myocardial Stunning - etiology
Myocardial Stunning - physiopathology
Stroke
Stroke - complications
Stroke - pathology
Stroke - physiopathology
Takotsubo
Takotsubo Cardiomyopathy - diagnosis
Takotsubo Cardiomyopathy - etiology
Takotsubo Cardiomyopathy - physiopathology
Myocardial ischaemia
Takotsubo
Stroke
Catecholamine
Cardiomyopathy
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Summary:Abstract Takotsubo cardiomyopathy has been described as a consequence of stroke or a cardioembolic source of stroke. We present the case of a 43 year-old woman who suffered from Takotsubo cardiomyopathy and subsequently developed a large left cerebellar infarct without significant neurological deficits nor evidence of a cardioembolic cause. Catecholamine excess has been postulated to cause myocardial stunning in Takotsubo cardiomyopathy and some cases of cerebral ischaemia. In this case, the concurrent occurrence of Takotsubo cardiomyopathy and stroke without an identifiable source suggests that there may be a possible unifying pathogenetic mechanism.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2009.02.025