Angry bowels breaking hearts: a case series. Issue 5 (3rd September 2018)

• Record Type: Journal Article
• Authors: Soliman, Youssef; Soliman, Megan; Ahmad, Qamar; vonDoenhoff, Laura
• Is Part Of: Journal of community hospital internal medicine perspectives. Volume 8:Issue 5(2018)
• Page Start: 276
• Page End: 278
• Publication Date: 2018-09-03
• Subjects: Takotsubo cardiomyopathy -- stress-induced cardiomyopathy; Internal medicine -- Periodicals; Hospitals -- Periodicals; Hospitals, Community; Internal Medicine; Hospitals; Internal medicine; Periodicals; Periodicals; 610
• DOI: 10.1080/20009666.2018.1528106
• Languages: English
• ISSNs: 2000-9666

Abstract

ABSTRACT: Stress cardiomyopathy or Takotsubo cardiomyopathy (TCM) is transient left ventricular apical akinesis in the absence of angiographic evidence of corresponding obstructive coronary artery disease. A classic presentation is of chest pain following intense emotional or physical stress. Reports of stress-inducing triggers include acute respiratory failure, sudden death of a loved one, sympathomimetic drugs, pheochromocytoma crisis, diabetic ketoacidosis, and even earthquakes. We report three cases of intra-abdominal etiologies precipitating Takotsubo cardiomyopathy: two with small bowel obstruction, and one with Clostridium difficile colitis.