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Updated: Jun 29, 2026

Transthoracic Echocardiography to Assess Post-Resuscitation Left Ventricular Dysfunction After Acute Myocardial Infarction and Cardiac Arrest in Pigs

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Reversible left ventricular dysfunction in suicidal hanging.

G Gnanavelu¹, D B D Sathiakumar

¹Sugam Hospital, Tiruvottiyur, Chennai.

The Journal of the Association of Physicians of India

|October 14, 2008

Summary

Attempted suicide by hanging can cause temporary heart muscle dysfunction, known as stress cardiomyopathy. This condition, triggered by extreme physical and emotional stress, is usually reversible with a favorable outcome.

Area of Science:

Cardiology
Toxicology

Background:

Stress cardiomyopathy, also known as Takotsubu cardiomyopathy, is a condition of acute and reversible left ventricular dysfunction.
It can be triggered by various psychological and physical stressors.

Observation:

This report details a case of reversible left ventricular dysfunction in a patient who attempted suicide by hanging.
Suicidal hanging represents an extreme physical and emotional stressor.

Findings:

The patient experienced rapidly reversible left ventricular dysfunction following the suicide attempt.
The primary mechanism is proposed to be myocardial stunning caused by a surge in catecholamines, although other pathways may contribute.

Implications:

This case highlights the potential for significant cardiac events in cases of attempted suicide by hanging.

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Understanding the pathogenesis of stress cardiomyopathy in such scenarios is crucial for clinical management and patient outcomes.