Takotsubo cardiomyopathy and transient global amnesia: a shared aetiology.
Jithin SajeevAnoop KoshyKevin RajakariarGary GordonPublished in: BMJ case reports (2017)
Takotsubo cardiomyopathy (TTC) is associated with acute, reversible left ventricular (LV) dysfunction, while transient global amnesia (TGA) is a reversible disorder of the brain characterised by anterograde amnesia. We report an unusual case of TTC occurring concurrently in a patient with TGA, and propose that catecholamine surge induced cerebral venous congestion and cardiotoxicity is the shared aetiology that leads to the concurrent manifestation of these conditions. TTC and TGA are reversible disorders that can occur concurrently in a subset of patients due to a unifying aetiology, catecholamine excess, leading to pathophysiological changes within the brain and the myocardium.
Keyphrases
- cerebral ischemia
- heart failure
- left ventricular
- end stage renal disease
- subarachnoid hemorrhage
- white matter
- newly diagnosed
- resting state
- liver failure
- drug induced
- oxidative stress
- blood brain barrier
- peritoneal dialysis
- brain injury
- acute myocardial infarction
- diabetic rats
- coronary artery disease
- squamous cell carcinoma
- radiation therapy
- intensive care unit
- multiple sclerosis
- locally advanced
- patient reported outcomes
- aortic dissection
- transcatheter aortic valve replacement
- cardiac resynchronization therapy