Takotsubo cardiomyopathy secondary to intracranial hemorrhage

Mai Shimada1, Jonathan D Rose2

  • 1Maimonides Medical Center, New York 11219, NY, USA.

Insights

Aneurysmal subarachnoid hemorrhage can cause Takotsubo cardiomyopathy, mimicking heart attacks. Awareness of this link is crucial for timely diagnosis and treatment in patients with subarachnoid hemorrhage.

Area of Science:

  • Cardiology
  • Neurology
  • Critical Care Medicine

Background:

  • Aneurysmal subarachnoid hemorrhage (SAH) frequently causes electrocardiogram (ECG) abnormalities resembling cardiac ischemia.
  • Left ventricular regional wall-motion dysfunction is an infrequently reported complication of SAH.

Purpose of the Study:

  • To increase awareness of potential ECG changes associated with SAH.
  • To highlight the association between SAH and Takotsubo cardiomyopathy (TCM).

Main Methods:

  • Case report of a 55-year-old female patient with acute aneurysmal subarachnoid hemorrhage.
  • Evaluation complicated by the development of Takotsubo cardiomyopathy.

Main Results:

  • The patient's aneurysmal subarachnoid hemorrhage was complicated by Takotsubo cardiomyopathy.
  • Takotsubo cardiomyopathy presented similarly to acute ST-elevation myocardial infarction.

Conclusions:

  • Aneurysmal subarachnoid hemorrhage can induce Takotsubo cardiomyopathy.
  • Physicians must recognize this association to avoid diagnostic delays and ensure appropriate patient management.

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