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Tako-tsubo cardiomyopathy after a quarrel
Dong-Mei Jiang1, Ze-Wei Sunc2, Jie Han2
1Department of Cardiology, Biomedical research (therapy) center, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
African Health Sciences
|March 10, 2016
Summary
This case study highlights Tako-tsubo cardiomyopathy in a blind woman following emotional stress. It suggests severe stress can trigger myocardial stunning, even in visually impaired individuals.
Area of Science:
- Cardiology
- Neurology
Background:
- Tako-tsubo cardiomyopathy (TTC), or stress-induced cardiomyopathy, is typically associated with emotional or physical stressors.
- Visual impairment is not commonly recognized as a risk factor or predisposing condition for TTC.
Observation:
- A 55-year-old blind woman with a history of ocular trauma presented with acute chest pain after a quarrel.
- Echocardiography revealed regional wall motion abnormalities, and coronary angiography excluded obstructive coronary artery disease.
- Ventriculography showed characteristic apical ballooning and basal hypercontraction, confirming TTC.
Findings:
- The patient's symptoms and echocardiographic findings resolved within 6 weeks, indicating a favorable prognosis.
- This case demonstrates TTC can occur in visually impaired individuals, suggesting stress pathways are not solely reliant on visual stimuli.
Implications:
- Severe emotional or physical stress can precipitate myocardial stunning (TTC) irrespective of visual status.
- This case broadens the understanding of potential triggers and patient populations susceptible to Tako-tsubo cardiomyopathy.
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