Key result
A young woman who developed cardiogenic shock from reverse takotsubo cardiomyopathy during labor made an excellent recovery after 2 days of intensive care support.
Case Report (n=1)
Reverse takotsubo cardiomyopathy is a rare but reversible cause of peripartum cardiogenic shock that can be rapidly diagnosed with echocardiography.
Rapid recovery after brief ICU care supports considering reverse takotsubo in peripartum shock; leaves open need for prospective data.
Reverse takotsubo cardiomyopathy is a rare variant of a rare disease characterized by basal ballooning and dysfunction of the left ventricle. While it can render patients profoundly unwell and reliant on intensivist care, it is a transient phenomenon, with the worst symptoms subsiding after 2-3 days. At term, a young woman spontaneously entered labor prior to a planned repeat cesarean section. After experiencing physical and psychological distress during labor and a vacuum extraction, she developed cardiogenic shock from reverse takotsubo cardiomyopathy, quickly diagnosed with transthoracic echocardiogram. She required 2 days of intensive care support and made an excellent recovery. This very rare condition should be considered in systemically unwell women in the peripartum as it can be quickly diagnosed, providing patients with the best appropriate care.
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Gregory et al. (2024) conducted a case report in Reverse takotsubo cardiomyopathy with cardiogenic shock (n=1). Physical and psychological distress during labor and vacuum extraction was evaluated on Recovery from cardiogenic shock. A young woman who developed cardiogenic shock from reverse takotsubo cardiomyopathy during labor made an excellent recovery after 2 days of intensive care support.
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