Format

Send to

Choose Destination
Scott Med J. 2013 Nov;58(4):e11-4. doi: 10.1177/0036933013508044.

Takotsubo cardiomyopathy in chronic infection.

Author information

1
Foundation Doctor, Department of Cardiac Services, Mater Dei Hospital, Malta.

Abstract

INTRODUCTION:

Takotsubo cardiomyopathy is the acquired, reversible syndrome characterised by apical ballooning and base hypercontractility and probably precipitated by emotional and physical stressors that cause a hyperadrenergic state. It presents as an acute coronary event without there being coronary disease.

CASE PRESENTATION:

We present a case of a 73-year-old woman who developed takotsubo cardiomyopathy with concomitant septic shock from a chronic hemiarthroplasty site infection. The prosthesis had been removed, the surgical site drained twice and multiple antibiotics prescribed. She also had a previous episode of sepsis from she recovered with vasopressor support.

CONCLUSION:

To the author's knowledge, this is the first case of this syndrome occurring in such a prolonged septic process and where the primary focus was a surgical wound. This may indicate continued myocardial injury secondary to a sustained hyperadrenergic state as a possible mechanism for takotsubo cardiomyopathy, rather than a one-time catecholamine surge.

KEYWORDS:

Takotsubo cardiomyopathy; chronic infection; sepsis; surgical site

PMID:
24215050
DOI:
10.1177/0036933013508044
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center