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Neurocritical Care
Published in: Neurocritical Care 2/2017

Open Access 01-04-2017 | Practical Pearl

Takotsubo Cardiomyopathy in Traumatic Brain Injury

Authors: Chun Fai Cheah, Mario Kofler, Alois Josef Schiefecker, Ronny Beer, Gert Klug, Bettina Pfausler, Raimund Helbok

Published in: Neurocritical Care | Issue 2/2017

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Abstract

Background

Takotsubo cardiomyopathy (TC) is a well-known complication after aneurysmal subarachnoid hemorrhage and has been rarely described in patients with traumatic brain injury (TBI).

Methods

Case report and review of literature.

Results

Here, we report a 73-year-old woman with mild traumatic brain injury (TBI) presenting in cardiogenic shock. Takotsubo cardiomyopathy (TC) was diagnosed by repeated echocardiography. Cardiovascular support by inotropic agents led to hemodynamic stabilization after initiation of levosimendan. Cardiac function fully recovered within 21 days. We performed an in-depth literature review and identified 16 reported patients with TBI and TC. Clinical course and characteristics are discussed in the context of our patient.

Conclusion

Takotsubo cardiomyopathy is under-recognized after TBI and may negatively impact outcome if left untreated.
Appendix
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Metadata
Title
Takotsubo Cardiomyopathy in Traumatic Brain Injury
Authors
Chun Fai Cheah
Mario Kofler
Alois Josef Schiefecker
Ronny Beer
Gert Klug
Bettina Pfausler
Raimund Helbok
Publication date
01-04-2017
Publisher
Springer US
Published in
Neurocritical Care / Issue 2/2017
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-016-0334-y

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