Key result
Intra-abdominal etiologies including small bowel obstruction and Clostridium difficile colitis can precipitate Takotsubo cardiomyopathy.
Case Report (n=3)
Intra-abdominal conditions such as small bowel obstruction and C. difficile colitis can act as physical stressors triggering Takotsubo cardiomyopathy.
Stress cardiomyopathy or Takotsubo cardiomyopathy (TCM) is transient left ventricular apical akinesis in the absence of angiographic evidence of corresponding obstructive coronary artery disease. A classic presentation is of chest pain following intense emotional or physical stress. Reports of stress-inducing triggers include acute respiratory failure, sudden death of a loved one, sympathomimetic drugs, pheochromocytoma crisis, diabetic ketoacidosis, and even earthquakes. We report three cases of intra-abdominal etiologies precipitating Takotsubo cardiomyopathy: two with small bowel obstruction, and one with Clostridium difficile colitis.
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Soliman et al. (2018) conducted a case report in Takotsubo cardiomyopathy (n=3). Intra-abdominal etiologies (small bowel obstruction, Clostridium difficile colitis) was evaluated on Takotsubo cardiomyopathy. Intra-abdominal etiologies, including small bowel obstruction and Clostridium difficile colitis, can precipitate Takotsubo cardiomyopathy.
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