Key result
Extreme emotional stress preceded acute ischemic cardiomyopathy in a child, mimicking Tako-Tsubo cardiomyopathy typically seen in adults.
Case Report (n=1)
This case report suggests that stress-induced (Tako-Tsubo) cardiomyopathy, typically seen in adults, can also occur in children.
First report of Takotsubo in a child; leaves open prevalence and management in congenital heart disease.
Ischemic cardiomyopathy is rare in children. It is usually caused by congenital anomalies of coronary arteries, coronary anomalies after coronary artery transfer, or Kawasaki disease. In recent years, a new cardiac syndrome-named "Tako-Tsubo cardiomyopathy" for the particular shape of the end systolic ventricle-has been described in adults. In the absence of coronary artery obstruction, it mimics acute myocardial infarction with chest pain and typical electrocardiography changes. Emotional or physical stress usually precedes this cardiomyopathy. At present, this entity has only been described in adults, with a strong predominance in postmenopausal women. We report a case of acute ischemic cardiomyopathy after extreme stress in a child that may share the same pathophysiology.
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Bajolle et al. (2009) conducted a case report in Acute ischemic cardiomyopathy (n=1). Extreme emotional stress was evaluated on Acute ischemic cardiomyopathy. Extreme emotional stress preceded acute ischemic cardiomyopathy in a child, mimicking Tako-Tsubo cardiomyopathy typically seen in adults.
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