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Takotsubo cardiomyopathy and canalith repositioning procedure for benign paroxysmal positional vertigo

Selmin Karatayli-Ozgursoy1, Larry B Lundy, David A Zapala

  • 1Department of Otolaryngology, Mayo Clinic Florida, Jacksonville, FL 32224, USA.

Journal of the American Academy of Audiology
|February 20, 2010
PubMed

Insights

Takotsubo cardiomyopathy, a heart condition, was observed in a patient undergoing treatment for benign paroxysmal positional vertigo (BPPV). This case highlights a potential link between vertigo treatment and cardiac events.

Area of Science:

  • Cardiology
  • Neurology
  • Vestibular Disorders

Background:

  • Takotsubo cardiomyopathy (TTC), or transient left ventricular dysfunction, presents with chest pain and ECG changes but normal coronary arteries.
  • Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo due to peripheral vestibular dysfunction, treated with repositioning maneuvers.

Observation:

  • This report details the first case of TTC in English literature associated with BPPV.
  • The patient underwent a canalith repositioning procedure for BPPV.

Findings:

  • The case demonstrates a potential clinical correlation between BPPV treatment and the development of TTC.
  • This association expands the known clinical spectrum of TTC.

Implications:

  • Physicians should consider TTC in patients presenting with acute chest pain and vertigo, especially after vestibular procedures.
  • Further research is needed to understand the relationship between BPPV and TTC.
Abstract

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