Tako-tsubo cardiomyopathy following severe intracerebral hemorrhage in a 23-year-old man was completely reversible, with normal cardiac function restored one week after admission.
Case Report (n=1)
Tako-tsubo cardiomyopathy can occur in patients with intracerebral hemorrhage and is characterized by complete reversibility, which is important to recognize to avoid misclassification.
In patients with intracerebal hemorrhage, cardiac dysfunction is a common phenomenon. Tako-tsubo cardiomyopathy is characterized by complete reversibility and therefore may constitute an entity with a favorable outcome. In this case report the authors describe a previously healthy 23-year-old man with no history of cardiac disease who suffered a severe fourth ventricular hemorrhage due to an angioma of the vermis cerebelli. After emergency surgery, progressive tachycardia, fibrillation, and electromechanical decoupling developed in the patient. An echocardiogram revealed left ventricular apical akinesia and basal hyperkinesis characteristic of tako-tsubo cardiomyopathy. One week after admission, cardiac function was normal. Tako-tsubo cardiomyopathy differs from common cardiac dysfunction in its reversible nature. This characteristic must be taken into consideration when treating patients with intracerebral hemorrhage to avoid misclassification of the disease.
Deininger et al. (Fri,) conducted a case report in Tako-tsubo cardiomyopathy and intracerebral hemorrhage (n=1). Tako-tsubo cardiomyopathy was evaluated on Cardiac function recovery. Tako-tsubo cardiomyopathy following severe intracerebral hemorrhage in a 23-year-old man was completely reversible, with normal cardiac function restored one week after admission.