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Takotsubo cardiomyopathy secondary to non-accidental trauma presenting as an “unwitnessed” arrest

Published online by Cambridge University Press:  04 February 2019

Ryan M. Serrano ,
Marcus Schamberger  and
John J. Parent
Ryan M. Serrano*
Affiliation:
Riley Hospital for Children, Pediatric Cardiology, Indianapolis, IN, USA
Marcus Schamberger
Affiliation:
Riley Hospital for Children, Pediatric Cardiology, Indianapolis, IN, USA
John J. Parent
Affiliation:
Riley Hospital for Children, Pediatric Cardiology, Indianapolis, IN, USA
*
Author for correspondence: Ryan M. Serrano, Pediatric Cardiology, 705 Riley Hospital Drive, RR 127, Indianapolis, IN 46202, USA. Tel: +317 274 8906; Fax: +317 274 4022; E-mail: [email protected]
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Abstract

Takotsubo cardiomyopathy is characterised by akinesis and ballooning of the left ventricular apex during contraction of the otherwise normal base of the heart. We describe the case of a 7-month-old previously healthy female who presented with an unwitnessed cardiac arrest. Workup raised suspicion for non-accidental trauma. Despite progression to brain death, the severely decreased ventricular function and apical akinesis of the left ventricle improved within 40 hours of admission. This report will familiarise paediatricians with this rare cardiomyopathy and emphasise the importance of considering non-accidental trauma as an inciting event for patients with unwitnessed cardiac arrest found to have decreased ventricular function.

Keywords

Takotsubo cardiomyopathyheart failurenon-accidental trauma
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 3 , March 2019 , pp. 442 - 444
Copyright
© Cambridge University Press 2019 

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Footnotes

Cite this article: Serrano RM, Schamberger M, Parent JJ. (2019) Takotsubo cardiomyopathy secondary to non-accidental trauma presenting as an “unwitnessed” arrest. Cardiology in the Young29: 442–444. doi: 10.1017/S1047951118002366

References

1. Deshmukh, A, Kumar, G, Pant, S, et al. Prevalence of Takotsubo cardiomyopathy in the United States. Am Heart J 2012; 164: 66.e1–71.e1.Google Scholar
2. Bajolle, F, Basquin, A, Lucron, H, et al. Acute ischemic cardiomyopathy after extreme emotional stress in a child. Congenit Heart Dis 2009; 4: 387–390.10.1111/j.1747-0803.2009.00277.xGoogle Scholar
3. Fabi, M, Testa, G, Gesuete, V, et al. An unusual cardiomyopathy after physical stress in a child. Congenit Heart Dis 2013; 8: E45–E48.10.1111/j.1747-0803.2011.00610.xGoogle Scholar
4. Hong, J, Glater-Welt, LB, Siegel, LB. Takotsubo cardiomyopathy in a 23 months-old following traumatic brain injury. Ann Pediatr Child Helath 2014; 2: 1029.Google Scholar
5. Wittstein, IS, Thiemann, DR, Lima, JC, et al. Neurohormonal features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005; 352: 539–548.10.1056/NEJMoa043046Google Scholar
6. Martin, EA, Prasad, A, Rihal, CS, et al. Endothelial function and vascular response to mental stress are impaired in patients with apical ballooning syndrome. J Am Coll Cardiol 2010; 56: 1840–1846.10.1016/j.jacc.2010.03.107Google Scholar
7. Lacy, CR, Contrada, RJ, Robbins, ML, et al. Coronary vasoconstriction induced by mental stress (simulated public speaking). Am J Cardiol 1995; 75: 503–505.10.1016/S0002-9149(99)80590-6Google Scholar
8. Madhavan, M, Prasad, A. Proposed Mayo Clinic criteria for the diagnosis of Tako-Tsubo cardiomyopathy and long-term prognosis. Herz 2010; 35: 240–243.10.1007/s00059-010-3339-xGoogle Scholar
9. Scally, C, Rudd, A, Mezincescu, A, et al. Persistent long-term structural, functional, and metabolic changes after stress-induced (Takotsubo) cardiomyopathy. Circulation 2018; 137: 1039–1048.Google Scholar
10. Srivastava, NT, Parent, JJ, Hurwitz, RA. Recurrent Takotsubo cardiomyopathy in a child. Cardiol Young 2016; 26: 410–412.Google Scholar