Key result
A recurrent pneumothorax triggered Takotsubo cardiomyopathy in an 80-year-old man with COPD, demonstrating that these two conditions can coexist and mimic acute coronary syndrome.
Case Report (n=1)
No
Takotsubo cardiomyopathy can be triggered by pneumothorax, highlighting the importance of ECG and echocardiography evaluation in pneumothorax patients presenting with chest pain.
Pneumothorax may trigger Takotsubo cardiomyopathy; hypothesis-generating and does not yet support routine cardiac screening.
Chest pain is one of the major causes of emergency room visits. Here, we present the case of a patient with chest pain who developed recurrent pneumothorax and Takotsubo cardiomyopathy (TC). An 80-year-old man, receiving supplemental oxygen for chronic obstructive pulmonary disease (COPD), presented to the emergency room with chest pain and dyspnea. On examination, his chest pain was initially assessed to be secondary to recurrent pneumothorax. However, on further evaluation, an electrocardiogram (ECG) showed ST-segment elevation along with elevated troponin levels. Ultimately, he was diagnosed with TC. ECG, if indicated by echocardiography, should be considered to detect concomitant heart disease when dealing with pneumothorax. TC should be recognized as a cardiac disease that can be caused by pneumothorax.
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Takimoto et al. (2022) conducted a case report in Takotsubo cardiomyopathy and recurrent pneumothorax (n=1). Pneumothorax was evaluated on Development of Takotsubo cardiomyopathy. A recurrent pneumothorax triggered Takotsubo cardiomyopathy in an 80-year-old man with COPD, demonstrating that these two conditions can coexist and mimic acute coronary syndrome.
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