Two-dimensional speckle-tracking echocardiography derived strain helped diagnose reverse takotsubo syndrome in a 24-year-old man with anthracycline exposure and acute heart failure.
Case Report (n=1)
Two-dimensional speckle-tracking echocardiography derived strain can help differentiate reverse takotsubo syndrome from anthracycline-induced cardiotoxicity in oncology patients presenting with acute heart failure.
A 24-year-old man with acute myelogenous leukaemia and a history of anthracycline treatment is hospitalised for non-anthracycline chemotherapy. He develops new-onset heart failure requiring intesive care unit (ICU) admission during his stay. There is debate as to the aetiology of his heart failure, whether anthracycline cardiotoxicity or takotsubo syndrome. He is diuresed and discharged home with close follow-up. Ultimately, the retrospective use of two-dimensional speckle-tracking echocardiography derived strain helps diagnose reverse takotsubo syndrome.
Voit et al. (2018) conducted a case report in Reverse takotsubo syndrome, acute myelogenous leukaemia, heart failure (n=1). Anthracycline chemotherapy was evaluated. Two-dimensional speckle-tracking echocardiography derived strain helped diagnose reverse takotsubo syndrome in a 24-year-old man with anthracycline exposure and acute heart failure.