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Published on: March 3, 2023
Takotsubo cardiomyopathy after microwave ablation of hepatocellular carcinoma
Ahmed Elgazzar1, Deval Surana2, Rakesh Varma3
1East Tennessee State University James H Quillen College of Medicine, Maple Avenue, Bldg. 178, Mountain Home, TN 37684, USA.
Insights
Takotsubo cardiomyopathy can mimic heart attacks after stress. This stress cardiomyopathy involves temporary heart muscle dysfunction and requires consideration in cardiac event diagnoses.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Takotsubo cardiomyopathy (TTC) is a stress-induced condition mimicking ST-segment elevation myocardial infarction (STEMI).
- It presents with transient left ventricular wall motion abnormalities due to myocardial stunning.
- The exact causes and mechanisms, possibly involving catecholamine surges, are still under investigation.
Abstract:
Takotsubo cardiomyopathy is a form of stress cardiomyopathy that can clinically mimic an acute ST-segment elevation myocardial infarction (STEMI). It involves transient anomalies in left ventricular wall motion secondary to myocardial stunning. Specific causes have still not been elucidated, and several mechanisms have been proposed, including catecholamine surges following intense emotional or physical stress. We present a case of a 74-year-old woman, diagnosed with Takotsubo cardiomyopathy following percutaneous microwave ablation of hepatocellular carcinoma. Although Takotsubo cardiomyopathy comprises a small percentage of acute coronary syndrome presentations, it should be considered in the differential for acute cardiac events as its management varies compared to other more common forms of acute cardiac events.
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