Key result
Severe Takotsubo cardiomyopathy precedes the delayed diagnosis of a ruptured subarachnoid hemorrhage.
Why the study?
Tako-tsubo cardiomyopathy can result from severe physical stress, but delayed diagnosis of underlying causes such as subarachnoid hemorrhage is not well characterized.
Case Report (n=1)
Highlights the importance of considering subarachnoid hemorrhage as an underlying cause of tako-tsubo cardiomyopathy, even when diagnosis is delayed.
May warrant SAH evaluation in post-CPR tako-tsubo cardiomyopathy; single case leaves open need for validation.
Introduction Tako-tsubo cardiomyopathy or “apical ballooning” was first described in Japan in 1990 by Satoh et al. [ 7 ] The syndrome is characterized by transient left ventricular dysfunction resulting from severe physical or emotional stress. This report describes a 64-year-old woman who underwent CPR (cardiopulmonary resuscitation) because of severe cardiac failure due to tako-tsubo cardiomyopathy. A subarachnoid hemorrhage (SAH) from a ruptured anterior communicating aneurysm was diagnosed as the underlying cause seven days later.
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Boes et al. (2010) conducted a case report in Tako-tsubo cardiomyopathy and subarachnoid hemorrhage (n=1). A 64-year-old woman presenting with severe cardiac failure due to tako-tsubo cardiomyopathy was diagnosed seven days later with a subarachnoid hemorrhage from a ruptured anterior communicating aneurysm.
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