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Acute Pancreatitis-Induced Takotsubo Cardiomyopathy in an African American Male.

Bruenjes JD, Vallabhajosyula S, Vacek CJ, Fixley JE - ACG Case Rep J (2015)

Bottom Line: Takotsubo cardiomyopathy (TCM) is triggered by multiple physical and psychological stressors and frequently mimics acute coronary syndrome.Laboratory parameters revealed elevated troponin-I, amylase, lipase, and metabolic acidosis.Coronary angiogram was unrevealing for coronary atherosclerosis and he was managed conservatively for acute pancreatitis and heart failure from TCM.

View Article: PubMed Central - PubMed

Affiliation: Creighton University School of Medicine, Omaha, NE.

ABSTRACT
Takotsubo cardiomyopathy (TCM) is triggered by multiple physical and psychological stressors and frequently mimics acute coronary syndrome. Acute pancreatitis as a trigger for TCM has rarely been reported. We report a 55-year-old African American man with hypertension and alcohol abuse history, who presented with epigastric and sub-sternal pain and electrocardiogram demonstrating ischemic changes. Laboratory parameters revealed elevated troponin-I, amylase, lipase, and metabolic acidosis. He was diagnosed with acute pancreatitis and ACS. Coronary angiogram was unrevealing for coronary atherosclerosis and he was managed conservatively for acute pancreatitis and heart failure from TCM.

No MeSH data available.


Related in: MedlinePlus

Left ventriculography demonstrating reduced LV ejection fraction and apical ballooning consistent with TCM.
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Figure 3: Left ventriculography demonstrating reduced LV ejection fraction and apical ballooning consistent with TCM.

Mentions: The patient was admitted to the coronary care unit and started on medical management with aspirin, atorvastatin, metoprolol, clopidogrel, and heparin. He was started on intravenous hydration, analgesics, and anti-emetics for conservative management of acute pancreatitis. Emergent coronary angiogram demonstrated absence of obstructive coronary artery disease and left ventriculography demonstrated reduced LV ejection fraction (25%) with apical ballooning and hyper-contractile basal segments, consistent with TCM (Figure 3). The patient was medically stabilized on aspirin, metoprolol, lisinopril, and warfarin. He was counselled extensively on tobacco and alcohol cessation.


Acute Pancreatitis-Induced Takotsubo Cardiomyopathy in an African American Male.

Bruenjes JD, Vallabhajosyula S, Vacek CJ, Fixley JE - ACG Case Rep J (2015)

Left ventriculography demonstrating reduced LV ejection fraction and apical ballooning consistent with TCM.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4612760&req=5

Figure 3: Left ventriculography demonstrating reduced LV ejection fraction and apical ballooning consistent with TCM.
Mentions: The patient was admitted to the coronary care unit and started on medical management with aspirin, atorvastatin, metoprolol, clopidogrel, and heparin. He was started on intravenous hydration, analgesics, and anti-emetics for conservative management of acute pancreatitis. Emergent coronary angiogram demonstrated absence of obstructive coronary artery disease and left ventriculography demonstrated reduced LV ejection fraction (25%) with apical ballooning and hyper-contractile basal segments, consistent with TCM (Figure 3). The patient was medically stabilized on aspirin, metoprolol, lisinopril, and warfarin. He was counselled extensively on tobacco and alcohol cessation.

Bottom Line: Takotsubo cardiomyopathy (TCM) is triggered by multiple physical and psychological stressors and frequently mimics acute coronary syndrome.Laboratory parameters revealed elevated troponin-I, amylase, lipase, and metabolic acidosis.Coronary angiogram was unrevealing for coronary atherosclerosis and he was managed conservatively for acute pancreatitis and heart failure from TCM.

View Article: PubMed Central - PubMed

Affiliation: Creighton University School of Medicine, Omaha, NE.

ABSTRACT
Takotsubo cardiomyopathy (TCM) is triggered by multiple physical and psychological stressors and frequently mimics acute coronary syndrome. Acute pancreatitis as a trigger for TCM has rarely been reported. We report a 55-year-old African American man with hypertension and alcohol abuse history, who presented with epigastric and sub-sternal pain and electrocardiogram demonstrating ischemic changes. Laboratory parameters revealed elevated troponin-I, amylase, lipase, and metabolic acidosis. He was diagnosed with acute pancreatitis and ACS. Coronary angiogram was unrevealing for coronary atherosclerosis and he was managed conservatively for acute pancreatitis and heart failure from TCM.

No MeSH data available.


Related in: MedlinePlus