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Relation between stress cardiomyopathy and hemorrhagic stroke

Nicolas Mansencal, Roland N'Guetta, Julien Desperramons

    International Journal of Cardiology
    |November 10, 2009
    PubMed

    Insights

    Stress cardiomyopathy can occur after a hemorrhagic stroke, even in patients without prior heart disease. Echocardiography aids in diagnosing and monitoring this condition.

    Area of Science:

    • Cardiology
    • Neurology

    Background:

    • Stress cardiomyopathy, also known as Takotsubo cardiomyopathy, is a form of non-ischemic heart dysfunction.
    • It is often triggered by significant emotional or physical stress, including cerebrovascular events.

    Observation:

    • An 89-year-old woman with no prior cardiovascular history presented with symptoms suggestive of acute neurological deficit.
    • Imaging revealed an acute hemorrhagic stroke.

    Findings:

    • The patient subsequently developed stress cardiomyopathy, a condition where the heart muscle temporarily weakens.
    • Echocardiography, including contrast and two-dimensional speckle tracking, was instrumental in diagnosing the cardiomyopathy.
    • These imaging techniques also facilitated the monitoring of the patient's cardiac function during recovery.

    Implications:

    • This case highlights the potential for cerebrovascular events, specifically hemorrhagic stroke, to precipitate stress cardiomyopathy in elderly individuals.
    • It underscores the importance of considering cardiac complications in patients with acute stroke.
    • Echocardiography plays a crucial role in the comprehensive management of patients experiencing stress cardiomyopathy secondary to stroke.

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