Key result
Acute COPD exacerbation and acute respiratory failure are highlighted as potential physical triggers of takotsubo cardiomyopathy.
Acute COPD exacerbation and acute respiratory failure should be recognized as potential physical triggers for Takotsubo cardiomyopathy.
Takotsubo cardiomyopathy and chronic obstructive pulmonary disease Miocardiopatia Takotsubo e doenc ¸a pulmonar obstrutiva crónicaWe read with great interest the recently published case report by Melão et al. (March 2014 issue of the Portuguese Journal of Cardiology) of a 56-year-old male with chronic obstructive pulmonary disease (COPD) who developed stress-induced cardiomyopathy associated with ipratropium bromide use, administered in the context of an acute exacerbation of COPD.Although this timely and interesting case report provides important information, we would like to share some thoughts.Acute COPD exacerbation and acute respiratory failure (hypoxemic and/or hypercapnic) have been described 1,2 as potential physical triggers of takotsubo cardiomyopathy (TCM).In a study by Sharkey et al., 1 acute respiratory failure and COPD exacerbation were among the most prevalent physical triggers.
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Dias et al. (2014) conducted a letter in Takotsubo cardiomyopathy and chronic obstructive pulmonary disease (n=1). Ipratropium bromide was evaluated. Acute COPD exacerbation and acute respiratory failure are highlighted as potential physical triggers of takotsubo cardiomyopathy.
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