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Related Concept Videos

Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
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Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
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Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
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Published on: February 17, 2018

Tako-tsubo cardiomyopathy triggered by misdirection.

Ziad Dahdouh1, Julien Wain-Hobson, Vincent Roule

  • 1Cardiology Department, University Hospital of Caen, Caen, France.

Korean Circulation Journal
|September 28, 2011
PubMed
Summary

Tako-Tsubo cardiomyopathy (TTC), or stress-induced cardiomyopathy, can occur due to medication misdirection, especially in postmenopausal women with nasogastric tubes. This case highlights a rare mechanical cause of TTC beyond emotional stress.

Keywords:
MalnuritionMisdirectionTako-tsubo cardiomyopathy

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Area of Science:

  • Cardiology
  • Internal Medicine
  • Gastroenterology

Background:

  • Tako-Tsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a reversible heart condition mimicking myocardial infarction.
  • Its exact pathophysiology is unclear, though often linked to emotional or physical stress, predominantly affecting postmenopausal women.
  • Clinical cases suggest diverse etiologies beyond typical stressors.

Purpose of the Study:

  • To report a unique case of TTC precipitated by medication misdirection in a patient with a nasogastric tube.
  • To explore potential mechanical factors contributing to TTC development.

Main Methods:

  • Case report of a 67-year-old postmenopausal woman.
  • Detailed clinical history including enteral feeding via nasogastric tube and medication administration.
  • Diagnostic evaluation for cardiomyopathy.

Main Results:

  • The patient developed TTC symptoms.
  • The event was associated with misdirection of swallowed medications, likely due to the nasogastric tube.
  • Mechanical blockade by the nasogastric tube is hypothesized as a contributing factor.

Conclusions:

  • Medication misdirection, potentially influenced by nasogastric tube placement, represents a novel mechanical etiology for TTC.
  • This case expands the understanding of TTC triggers beyond emotional stress.
  • Further investigation into mechanical factors in TTC is warranted.