Key result
A 53-year-old woman with hereditary motor and sensory neuropathy experienced recurrent episodes of takotsubo cardiomyopathy within a short span of days, recovering completely after 4 weeks of intensive supportive therapy.
Case Report (n=1)
This case demonstrates that Takotsubo cardiomyopathy can dynamically recur within a short span of days, emphasizing the importance of serial echocardiographic monitoring in susceptible patients.
Rapid recurrence possible in neuropathy-associated takotsubo; hypothesis-generating and should not yet change monitoring practice.
A 53-year-old woman with hereditary motor and sensory neuropathy was admitted to our hospital with congestive heart failure, followed by cardiogenic shock and acute renal failure. The patient's neuropathy was a rare entity documented first in a local area of Okinawa, Japan. Intensive supportive therapy was performed and the patient recovered within 4 weeks. Echocardiography revealed takotsubo-type left ventricular wall motion abnormality at onset. During hospitalization, restoration and recurrence of apical ballooning were observed at shorter intervals of days. The unique left ventricular wall motion abnormality of takotsubo cardiomyopathy is possibly a dynamically repetitive phenomenon. Serial echocardiographic studies are necessary so as not to miss recurrences within short intervals.
No takes yet. Share an insight, caveat, or question.
Uechi et al. (2008) conducted a case report in Takotsubo Cardiomyopathy and Hereditary Motor and Sensory Neuropathy (n=1). Intensive supportive therapy (including mechanical ventilation, IABP, and extracorporeal ultrafiltration) was evaluated on Recovery from recurrent takotsubo cardiomyopathy. A 53-year-old woman with hereditary motor and sensory neuropathy experienced recurrent episodes of takotsubo cardiomyopathy within a short span of days, recovering completely after 4 weeks of intensive supportive therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: