Cardiomyopathy with inverted tako-tsubo pattern in the setting of subarachnoid hemorrhage: a series of four cases.

Neurocritical Care
Sana ShoukatStephen D Clements

Abstract

Severe subarachnoid hemorrhage may be associated with regional wall motion abnormalities (RWMA) in the absence of epicardial coronary occlusion. The RWMA extends beyond the distribution of a single coronary artery and may present in a typical tako-tsubo cardiomyopathy pattern. Other variants have also been recognized, including an inverted tako-tsubo pattern of severe basal hypokinesis that spares the apex. The mechanism of this cardiomyopathy is not well understood but likely involves catecholamine excess. While classic tako-tsubo cardiomyopathy from emotional stress carries a favorable prognosis, cardiac dysfunction from subarachnoid hemorrhage is a marker of overall poor prognosis. We collected cases over a period of 4 years at a large teaching hospital. The cases represent cardiac dysfunction in the setting of subarachnoid hemorrhage in the unusual distribution of basal hypokinesis with relative sparing of the apex (inverted tako-tsubo pattern). A total of four cases were identified. All cases were female between the ages 43-67 years and had echocardiographic evidence of basal hypokinesis after suffering from an intracranial hemorrhage. The typical and inverted patterns may represent a spectrum within the same disease proce...Continue Reading

References

Oct 12, 2000·Journal of the American College of Cardiology·N ParekhC Rickard
Jun 8, 2002·Stroke; a Journal of Cerebral Circulation·Takashi MasudaTohru Izumi
Jun 8, 2006·Neurocritical Care·Avinash KothavaleJonathan G Zaroff
Aug 1, 2006·Journal of the American College of Cardiology·R Todd HurstA Jamil Tajik
Nov 24, 2006·Mayo Clinic Proceedings·Stefaan O A Van de WalleThierry C Gillebert
Apr 26, 2007·Cleveland Clinic Journal of Medicine·J Javier Provencio
May 12, 2007·The American Journal of Cardiology·Christina S ReussA Jamil Tajik
May 25, 2007·Resuscitation·Roberto CopettiLuigi Cattarossi
May 29, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Sachio KawaiUNKNOWN Takotsubo Cardiomyopathy Group
Dec 21, 2007·Nature Clinical Practice. Cardiovascular Medicine·Alexander R LyonSian E Harding
Apr 29, 2010·Internal and Emergency Medicine·Maurizio ZanobettiRiccardo Pini

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Citations

May 16, 2014·Case Reports in Cardiology·Sophie PiérardPhilippe Hantson
Sep 13, 2014·International Journal of Cardiology·Josef Finsterer, Karim Wahbi
May 7, 2014·Archives of Cardiovascular Diseases·Elisabeth CoupezPascal Motreff
Oct 7, 2014·Indian Journal of Dermatology·Virendra N SehgalAnanta Khurana
Oct 1, 2015·A & a Case Reports·Elizabeth MahannaAzra Bihorac
Mar 24, 2018·Current Neurology and Neuroscience Reports·M RanieriA Bersano
Apr 17, 2019·Medizinische Klinik, Intensivmedizin und Notfallmedizin·P KreuzerP Eller

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