Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)

• Authors: Karina Wierzbowska-Drabik , Andrzej Marcinkiewicz , Piotr Hamala , Ewa Trzos , Piotr Lipiec , Małgorzata Kurpesa , Radosław Kręcki , Michał Plewka , Jarosław D. Kasprzak

Abstracts

EN

Takotsubo cardiomyopathy (TC) is related to a transient systolic dysfunction of left ventricle (LV), accompanied by clinical and electrocardiographic symptoms of myocardial ischemia in the absence of hemodynamically significant coronary artery disease. Takotsubo cardiomyopathy is usually provoked by a psychologically or/and physically stressful event which may be related to occupational activities. Although visually assessed evolution of LV function is well documented, the data concerning strain changes is sparse and various patterns of deformation abnormalities are suggested. We have described a 72-year-old woman with chest pain related to a lecture given at the meeting of the Senior University, fulfilling all the Mayo Clinic criteria of the TC. The longitudinal strain analysis with automated function imaging (AFI) documented severe impairment and stepwise recovery of regional and global LV contractility. The case described confirms that accurate diagnosis, treatment and documenting of functional improvement in takotsubo cardiomyopathy may enable the return to occupational activities even for elderly persons. Int J Occup Med Environ Health 2017;30(4):681–683

Keywords

EN

professional activity; occupational stress; transthoracic echocardiography; takotsubo cardiomyopathy; longitudinal strain; AFI analysis

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2017
• Volume: 30
• Issue: 4
• Pages: 681-683

Dates

published

2017

Contributors

author

Karina Wierzbowska-Drabik

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Andrzej Marcinkiewicz

• Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health, Health Policy Unit)

author

Piotr Hamala

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Ewa Trzos

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Piotr Lipiec

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Małgorzata Kurpesa

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Radosław Kręcki

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Michał Plewka

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

author

Jarosław D. Kasprzak

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)

Identifiers

DOI

10.13075/ijomeh.1896.00931

Biblioteka Nauki

2161915