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Acta Diabetologica
Published in: Acta Diabetologica 6/2016

01-12-2016 | Case Report

Biventricular takotsubo cardiomyopathy in an elderly woman with uncontrolled type 2 diabetes: the biphasic echocardiographic and clinical pattern

Authors: Janusz Kochanowski, Radoslaw Piatkowski, Monika Budnik, Mariusz Jasik, Marek Roik, Grzegorz Opolski

Published in: Acta Diabetologica | Issue 6/2016

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Abstract

We describe a case of an elderly woman who was diagnosed with a biventricular takotsubo cardiomyopathy (TTC) with combination of emotional stress and poorly controlled type 2 diabetes. We observed significant correlation between biphasic improvement of right (after 4 days) and left ventricle function (after 4 weeks) with normalization glycemic status. To our knowledge, this is the first reported case in the literature of biventricular TTC with such metabolic disturbances.
Literature
1.
Budnik M, Kochanowski J, Piatkowski R et al (2016) Simple markers can distinguish Takotsubo cardiomyopathy from ST segment elevation myocardial infarction. Int J Cardiol 219:417–420CrossRefPubMed
2.
Nathan DM, Kuenen J, Borg R, Zheng H, Schoenfeld D, Heine RJ (2008) Translating the A1C assay into estimated average glucose values. Diabetes Care 31(8):1473–1478CrossRefPubMedPubMedCentral
3.
Madias JE (2016) Prevalence of diabetes in patients with takotsubo syndrome and controls without coronary artery disease in a Swedish cohort: scrutiny of statistics may be enlightening. Int J Cardiol 221:631CrossRefPubMed
4.
Opolski G, Pawlak MM, Roik MF et al (2010) Clinical presentation, treatment, and long-term outcomes in patients with takotsubo cardiomyopathy. Experience of a single cardiology center. Pol Arch Med Wewn 120:231–236PubMed
5.
Oe K, Mori K, Otsuji M, Konno T, Fujino N, Yamagishi M (2008) Takotsubo cardiomyopathy with marked ST-segment elevation and electrical alternans complicated with hyperglycemic hyperosmolar state. Int Heart J 49:629–635CrossRefPubMed
Metadata
Title
Biventricular takotsubo cardiomyopathy in an elderly woman with uncontrolled type 2 diabetes: the biphasic echocardiographic and clinical pattern
Authors
Janusz Kochanowski
Radoslaw Piatkowski
Monika Budnik
Mariusz Jasik
Marek Roik
Grzegorz Opolski
Publication date
01-12-2016
Publisher
Springer Milan
Published in
Acta Diabetologica / Issue 6/2016
Print ISSN: 0940-5429
Electronic ISSN: 1432-5233
DOI
https://doi.org/10.1007/s00592-016-0916-3

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