Takotsubo cardiomyopathy complicating a twin pregnancy at partum

Authors

  • B.V. Nagabhushana Rao Department of Medicine, Queens NRI Hospital, Visakhapatnam, Andhra Pradesh, India
  • A. Rekha Department of Cardiology,Queens NRI Hospital, Visakhapatnam, Andhra Pradesh, India
  • A. Sankar Narayan Department of Cardiology,Queens NRI Hospital, Visakhapatnam, Andhra Pradesh, India
  • A. Manjusha Department of Critical care, Queens NRI Hospital, Visakhapatnam, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20195020

Keywords:

Cardiomyopathy, Echocardiogram, Myocardial infraction

Abstract

Takotsubo cardiomyopathy is a rare syndrome characterized by acute left ventricular dysfunction with regional left ventricular ballooning, mimicking myocardial infarction. This condition is often described in post-menopausal women. Authors present a case in an elderly primi with twin gestation immediately after Cesarean surgery. We discussed her presentation, investigations, diagnosis, management and outcome. 35 year female, a primi with twin pregnancy developed chest pain and shortness of breath immediately after Cesarean surgery. Her Electrocardiograph was abnormal, and Echocardiogram demonstrated abnormal apical ballooning of the left ventricle and severe dysfunction. Cardiac enzymes were elevated and chest skiagram showed pulmonary edema. She was managed in the intensive care unit with oxygen supplementation, diuretics and inotropes. She made an excellent recovery with normalization of left ventricular ejection fraction within 8 days. During the six months follow up, she was asymptomatic and left ventricular function remained normal.

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Published

2019-10-24

How to Cite

Rao, B. N., Rekha, A., Narayan, A. S., & Manjusha, A. (2019). Takotsubo cardiomyopathy complicating a twin pregnancy at partum. International Journal of Research in Medical Sciences, 7(11), 4375–4378. https://doi.org/10.18203/2320-6012.ijrms20195020

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Section

Case Reports