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Choke Attack: Atypical Cardiomyopathy Subsequent to Postnasal Drip
Kantha R Kolla1, Jaya M Mehta2, Hari P Chaliki1
1Cardiology, Mayo Clinic, Scottsdale, AZ.
Cureus
|April 24, 2018
Summary
Midventricular ballooning syndrome, an atypical form of takotsubo cardiomyopathy (TCM), involves temporary heart muscle dysfunction in the left ventricle’s midsection. This case highlights chest pain after coughing as a trigger for this rare heart condition.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Internal Medicine
Background:
- Takotsubo cardiomyopathy (TCM) typically affects the left ventricle's apex.
- Midventricular ballooning syndrome is an atypical variant of TCM.
Observation:
- A patient presented with chest pain after experiencing choking and coughing spells.
- The patient had a history of postnasal drip.
Findings:
- The patient exhibited midventricular ballooning syndrome, a form of TCM.
- Transient left ventricular wall motion abnormalities were observed in the midsegment with apical sparing.
- Apical contractility was preserved or hyperkinetic, distinguishing it from typical TCM.
Implications:
- This case expands the understanding of TCM presentations.
- It suggests that respiratory triggers like coughing can precipitate atypical TCM.
- Highlights the importance of considering midventricular ballooning syndrome in patients with chest pain and respiratory symptoms.
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