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Updated: Jun 15, 2026

Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine

Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine

Published on: February 17, 2018

Coughing-induced stress cardiomyopathy.

Samuel M Butman¹

¹Northern Arizona Heart and Vascular Center, Cottonwood, AZ, USA. sbutman@aol.com

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions

|February 27, 2010

Summary

Severe coughing triggered stress cardiomyopathy, a type of heart muscle dysfunction, in a patient with normal coronary arteries. This condition, also known as takotsubo cardiomyopathy, resolved fully with supportive care.

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Area of Science:

Cardiology
Cardiovascular Medicine
Medical Case Reports

Background:

Stress cardiomyopathy, or takotsubo cardiomyopathy, is characterized by acute left ventricular dysfunction.
It is often triggered by significant emotional or physical stress.
Diagnosis typically involves ruling out obstructive coronary artery disease.

Observation:

A case report details a patient experiencing chest pressure and elevated troponin levels.
The patient presented with antero-apical dyskinesis on cardiac imaging.
These symptoms occurred after a severe bout of coughing.

Findings:

Coronary angiography revealed no significant coronary artery disease.
The observed cardiac dysfunction was consistent with stress-induced cardiomyopathy.
Biomarkers indicated myocardial injury.

Implications:

This case highlights that severe physical exertion, like intense coughing, can precipitate stress cardiomyopathy.
It underscores the importance of considering non-ischemic causes of myocardial injury.
Prompt diagnosis and management lead to favorable outcomes and full functional recovery.