Key result
Small bowel obstruction linked to Takotsubo cardiomyopathy as an unusual intra-abdominal trigger.
Why the study?
Takotsubo cardiomyopathy is triggered by intense physical or emotional stress, but small bowel obstruction is a rare trigger.
Case Report (n=1)
Small bowel obstruction can serve as a rare physical stressor triggering Takotsubo cardiomyopathy.
Awareness of rare abdominal stressors may aid Takotsubo evaluation; extends known triggers but leaves open broader applicability.
Takotsubo cardiomyopathy (TCM), also known as apical ballooning syndrome or stress-induced cardiomyopathy, typically presents with features of the acute coronary syndrome. It is characterized by left ventricular apical akinesis and transient systolic dysfunction in the absence of obstructive coronary artery disease. Although its pathogenesis remains unclear, it is thought to be a catecholamine surge that is produced following intense physical or emotional stress. We present a case of TCM in a patient with small bowel obstruction (SBO), which is a rare trigger.
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Benyovszky et al. (2022) conducted a case report in Takotsubo cardiomyopathy secondary to small bowel obstruction (n=1). Small bowel obstruction was evaluated on Development of Takotsubo cardiomyopathy. A 65-year-old female developed Takotsubo cardiomyopathy triggered by a small bowel obstruction, highlighting an unusual intra-abdominal cause for the stress-induced cardiomyopathy.
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