Takotsubo Syndrome: A Pathway through the Pituitary Disease.
Rui PlácidoAna Filipa MartinsSusana Robalo MartinsSónia do ValeAna G AlmeidaFausto PintoJoão Martin MartinsPublished in: Case reports in cardiology (2016)
Takotsubo cardiomyopathy (TTC) is characterized by reversible left ventricular apical and/or midventricular hypokinesia with unknown etiology. The clinical presentation is similar to acute myocardial infarction in the absence of significant obstructive coronary artery disease. Various predisposing factors have been related to TTC, such as acute neurological illnesses, endocrine diseases, pain, and emotional stress. We present the first description of an association between TTC cardiomyopathy and panhypopituitarism. This case reinforces the connection between the hormonal and cardiovascular systems. Furthermore, it supports the importance of a comprehensive and integrated medical history in the approach of a patient with cardiac disease, towards clinical decision-making.
Keyphrases
- left ventricular
- acute myocardial infarction
- heart failure
- coronary artery disease
- decision making
- percutaneous coronary intervention
- case report
- chronic pain
- healthcare
- mitral valve
- drug induced
- aortic stenosis
- left atrial
- intensive care unit
- type diabetes
- neuropathic pain
- cardiovascular disease
- adipose tissue
- metabolic syndrome
- spinal cord injury
- spinal cord
- ejection fraction
- polycystic ovary syndrome
- subarachnoid hemorrhage
- heat stress
- blood brain barrier
- brain injury
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation