Key result
Myasthenic crisis can precipitate reverse Takotsubo cardiomyopathy, presenting with a hyper-dynamic apex and basilar hypokinesis on echocardiography.
Case Report (n=1)
This is the first reported case of Reverse Takotsubo Cardiomyopathy precipitated by a myasthenic crisis, highlighting the need to consider this diagnosis in young patients with myasthenia gravis presenting with respiratory distress and cardiac abnormalities.
Raises awareness for reverse Takotsubo in myasthenic crisis; hypothesis-generating and leaves open causality pending larger studies.
A 34 year old female with undiagnosed myasthenia gravis (MG) presented with shortness of breath and weakness. She was diagnosed with community acquired pneumonia and myasthenic crisis (MC). Her hospital course was complicated by hypoxemic respiratory failure requiring intubation with echocardiography revealing a hyper-dynamic apex and basilar hypokinesis consistent with Reverse Takotsubo Cardiomyopathy (RTCM). We present the first published case of RTCM from MC and review the existing cases of stress induced cardiomyopathies in MG patients.
No takes yet. Share an insight, caveat, or question.
Angelica Singh Carrie G Lenneman (2014) conducted a case report in Reverse Takotsubo Cardiomyopathy and Myasthenic Crisis (n=1). Myasthenic crisis was evaluated on Reverse Takotsubo Cardiomyopathy. Myasthenic crisis can precipitate reverse Takotsubo cardiomyopathy, presenting with a hyper-dynamic apex and basilar hypokinesis on echocardiography.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: