Takotsubo Cardiomyopathy Associated with Chronic Psychiatric Stress in Major Depressive Disorder in an Elderly Patient.
10.4235/jkgs.2015.19.3.181
- Author:
Jung A KOH
1
;
Seon Jae KIM
;
Hak Cheol LEE
;
Seong Taek CHU
;
Yong Chul SHIN
;
Jung Ju SIR
;
Seung Min CHOI
;
Shin Bae JOO
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea. seo0515@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Left ventricle;
Cardiomyopathy;
Psychiatric illness
- MeSH:
Aged*;
Cardiomyopathies;
Constriction, Pathologic;
Coronary Angiography;
Depressive Disorder, Major*;
Dyspnea;
Electrocardiography;
Female;
Heart Failure;
Heart Ventricles;
Humans;
Hyperkinesis;
Psychiatry;
Takotsubo Cardiomyopathy*
- From:Journal of the Korean Geriatrics Society
2015;19(3):181-184
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Takotsubo cardiomyopathy (TC) is a transient form of acute heart failure that most often occurs in postmenopausal women, typically triggered by a preceding emotional or physical stressor. A 74-year-old woman who suffered from chronic psychiatric stress visited National Medical Center for dyspnea. Acute emotional or physical stress could not be identified despite careful history taking. An electrocardiogram showed diffuse T-wave inversions with prolonged QT interval, and the echocardiogram showed akinesia of mid and apical segments of the left ventricle with hyperkinesia at the base. There was no significant stenosis on coronary angiography. Differing from the typical case of TC, which follows acute stress triggers, our case indicates that underlying chronic psychiatric illness exacerbation can lead to TC. We suggest that cardiologists and psychiatrists be aware of this predisposition to TC, especially in the circumstances of acute heart failure.
